Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,892.10 / $5,290.92 / $5,290.92	Facility		$4,892.10	$5,290.92	$5,290.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,492.81 / $3,352.62 / $5,290.92	Professional		$2,492.81	$3,352.62	$5,290.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $7,335.32	Facility		$4,052.23	$4,052.23	$7,335.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,052.23 / $7,323.00 / $9,153.75	Professional		$4,052.23	$7,323.00	$9,153.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,392.52 / $6,316.78 / $6,668.47	Professional		$5,392.52	$6,316.78	$6,668.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,252.59 / $8,568.65 / $29,802.90	Facility		$4,252.59	$8,568.65	$29,802.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,143.09 / $3,985.23 / $9,111.04	Professional		$3,143.09	$3,985.23	$9,111.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,313.86 / $7,335.32 / $8,791.44	Facility		$7,313.86	$7,335.32	$8,791.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,007.64 / $8,480.04 / $14,017.61	Professional		$6,007.64	$8,480.04	$14,017.61
United Facility/Professional Professional Modifier Low / Median / High Price $3,143.09 / $3,360.95 / $8,211.81	Professional		$3,143.09	$3,360.95	$8,211.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6,535.10 / $6,535.10 / $6,535.10	Facility		$6,535.10	$6,535.10	$6,535.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,162.72 / $6,535.10 / $6,535.10	Professional		$5,162.72	$6,535.10	$6,535.10