Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,786.30	Facility		$3,801.89	$3,801.89	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,981.07	Professional		$1,949.84	$2,818.38	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,495.41	Facility		$2,884.03	$2,884.03	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $6,606.93 / $8,317.64	Professional		$2,884.03	$6,606.93	$8,317.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $6,165.95	Professional		$4,570.88	$5,754.40	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,309.57 / $24,547.09	Facility		$3,311.31	$6,309.57	$24,547.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,467.37 / $8,317.64	Professional		$2,344.23	$3,467.37	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,623.41 / $6,918.31	Professional		$5,370.32	$5,623.41	$6,918.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $8,128.31 / $8,128.31	Professional		$5,248.07	$8,128.31	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $7,413.10	Facility		$2,238.72	$3,548.13	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $4,677.35	Professional		$2,290.87	$2,570.40	$4,677.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $4,786.30	Professional		$3,801.89	$4,786.30	$4,786.30