Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,653.62 / $5,653.62 / $5,691.19	Facility		$5,653.62	$5,653.62	$5,691.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,594.21 / $3,740.27 / $5,462.69	Professional		$2,594.21	$3,740.27	$5,462.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $7,698.98	Facility		$4,366.38	$4,366.38	$7,698.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,366.38 / $7,825.13 / $9,781.41	Professional		$4,366.38	$7,825.13	$9,781.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,227.51 / $6,999.07 / $8,317.60	Professional		$6,227.51	$6,999.07	$8,317.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,463.42 / $9,098.79 / $33,390.44	Facility		$4,463.42	$9,098.79	$33,390.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,346.01 / $4,339.97 / $9,562.77	Professional		$3,346.01	$4,339.97	$9,562.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,676.45 / $7,698.98 / $9,460.54	Facility		$7,676.45	$7,698.98	$9,460.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,594.00 / $8,993.45 / $14,712.59	Professional		$6,594.00	$8,993.45	$14,712.59
United Facility/Professional Professional Modifier Low / Median / High Price $3,346.01 / $4,105.50 / $8,774.75	Professional		$3,346.01	$4,105.50	$8,774.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6,859.09 / $6,859.09 / $6,859.09	Facility		$6,859.09	$6,859.09	$6,859.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,418.68 / $6,859.09 / $6,859.09	Professional		$5,418.68	$6,859.09	$6,859.09