Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,184.74 / $4,268.32 / $4,268.32	Facility		$3,184.74	$4,268.32	$4,268.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.98 / $2,522.19 / $4,138.17	Professional		$1,767.98	$2,522.19	$4,138.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $5,169.77	Facility		$3,001.57	$3,001.57	$5,169.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,001.57 / $5,907.75 / $7,384.69	Professional		$3,001.57	$5,907.75	$7,384.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,699.79 / $5,095.91 / $5,956.64	Professional		$4,699.79	$5,095.91	$5,956.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,997.13 / $6,039.00 / $21,089.02	Facility		$2,997.13	$6,039.00	$21,089.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,240.14 / $2,975.87 / $6,421.26	Professional		$2,240.14	$2,975.87	$6,421.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,169.77 / $5,169.77 / $6,196.01	Facility		$5,169.77	$5,169.77	$6,196.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,544.60 / $6,039.00 / $9,879.29	Professional		$4,544.60	$6,039.00	$9,879.29
United Facility/Professional Professional Modifier Low / Median / High Price $2,246.80 / $2,368.71 / $6,159.44	Professional		$2,246.80	$2,368.71	$6,159.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,605.79 / $4,605.79 / $4,605.79	Facility		$4,605.79	$4,605.79	$4,605.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,638.57 / $4,605.79 / $4,605.79	Professional		$3,638.57	$4,605.79	$4,605.79