Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,870.05 / $3,612.45 / $3,612.45	Facility		$2,870.05	$3,612.45	$3,612.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,761.66 / $2,369.29 / $4,022.85	Professional		$1,761.66	$2,369.29	$4,022.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $4,339.32	Facility		$2,481.10	$2,481.10	$4,339.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,481.10 / $4,999.88 / $6,249.84	Professional		$2,481.10	$4,999.88	$6,249.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,825.99 / $4,498.20 / $5,399.68	Professional		$3,825.99	$4,498.20	$5,399.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,515.69 / $5,203.34 / $20,983.29	Facility		$2,515.69	$5,203.34	$20,983.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,950.49 / $2,624.05 / $5,389.79	Professional		$1,950.49	$2,624.05	$5,389.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,326.64 / $4,339.32 / $5,992.81	Facility		$4,326.64	$4,339.32	$5,992.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,553.93 / $5,128.29 / $8,292.37	Professional		$3,553.93	$5,128.29	$8,292.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,625.41 / $2,600.65 / $2,965.23	Facility		$1,625.41	$2,600.65	$2,965.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,950.49 / $2,240.46 / $4,752.01	Professional		$1,950.49	$2,240.46	$4,752.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,865.94 / $3,865.94 / $3,865.94	Facility		$3,865.94	$3,865.94	$3,865.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,054.09 / $3,865.94 / $3,865.94	Professional		$3,054.09	$3,865.94	$3,865.94