Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,429.22 / $4,821.74 / $4,821.74	Facility		$4,429.22	$4,821.74	$4,821.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.04 / $2,810.86 / $3,998.08	Professional		$1,902.04	$2,810.86	$3,998.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $5,359.65	Facility		$2,853.06	$2,853.06	$5,359.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,853.06 / $6,673.50 / $8,341.87	Professional		$2,853.06	$6,673.50	$8,341.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,628.79 / $5,756.63 / $6,220.75	Professional		$4,628.79	$5,756.63	$6,220.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,107.21 / $6,334.13 / $24,371.76	Facility		$3,107.21	$6,334.13	$24,371.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,329.33 / $3,112.39 / $6,657.13	Professional		$2,329.33	$3,112.39	$6,657.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,343.96 / $5,359.65 / $6,936.34	Facility		$5,343.96	$5,359.65	$6,936.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,760.00 / $6,260.80 / $10,242.17	Professional		$4,760.00	$6,260.80	$10,242.17
United Facility/Professional Professional Modifier Low / Median / High Price $2,329.33 / $2,585.55 / $5,732.96	Professional		$2,329.33	$2,585.55	$5,732.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,774.96 / $4,774.96 / $4,774.96	Facility		$4,774.96	$4,774.96	$4,774.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,772.22 / $4,774.96 / $4,774.96	Professional		$3,772.22	$4,774.96	$4,774.96