Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,631.71 / $3,214.82 / $3,214.82	Facility		$2,631.71	$3,214.82	$3,214.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.09 / $1,988.34 / $2,898.85	Professional		$1,379.09	$1,988.34	$2,898.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $4,025.89	Facility		$2,482.86	$2,482.86	$4,025.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,482.86 / $4,449.75 / $5,562.19	Professional		$2,482.86	$4,449.75	$5,562.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,310.57 / $3,838.15 / $4,298.29	Professional		$3,310.57	$3,838.15	$4,298.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,333.98 / $4,757.87 / $17,674.86	Facility		$2,333.98	$4,757.87	$17,674.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,749.67 / $2,307.14 / $5,000.49	Professional		$1,749.67	$2,307.14	$5,000.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,014.12 / $4,025.89 / $5,029.24	Facility		$4,014.12	$4,025.89	$5,029.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,297.23 / $4,702.79 / $7,693.40	Professional		$3,297.23	$4,702.79	$7,693.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,364.07 / $2,182.50 / $2,488.46	Facility		$1,364.07	$2,182.50	$2,488.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,744.48 / $1,908.81 / $4,306.35	Professional		$1,744.48	$1,908.81	$4,306.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,586.70 / $3,586.70 / $3,586.70	Facility		$3,586.70	$3,586.70	$3,586.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,833.49 / $3,586.70 / $3,586.70	Professional		$2,833.49	$3,586.70	$3,586.70