Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,191.41 / $6,299.24 / $6,299.24	Facility		$5,191.41	$6,299.24	$6,299.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,582.69 / $3,707.50 / $5,722.23	Professional		$2,582.69	$3,707.50	$5,722.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $8,064.76	Facility		$4,865.01	$4,865.01	$8,064.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,865.01 / $8,718.75 / $10,898.44	Professional		$4,865.01	$8,718.75	$10,898.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,392.51 / $8,523.31 / $10,443.93	Professional		$6,392.51	$8,523.31	$10,443.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,675.47 / $9,420.75 / $33,007.53	Facility		$4,675.47	$9,420.75	$33,007.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,475.79 / $4,460.27 / $10,017.11	Professional		$3,475.79	$4,460.27	$10,017.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8,041.17 / $8,064.76 / $9,665.69	Facility		$8,041.17	$8,064.76	$9,665.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,605.09 / $9,377.67 / $15,411.60	Professional		$6,605.09	$9,377.67	$15,411.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $3,381.80 / $3,657.66 / $8,626.56	Professional		$3,381.80	$3,657.66	$8,626.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7,184.97 / $7,184.97 / $7,184.97	Facility		$7,184.97	$7,184.97	$7,184.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,676.13 / $7,184.97 / $7,184.97	Professional		$5,676.13	$7,184.97	$7,184.97