Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,244.16 / $2,291.01 / $2,291.01	Facility		$2,244.16	$2,291.01	$2,291.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.30 / $1,456.62 / $2,250.09	Professional		$1,010.30	$1,456.62	$2,250.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $3,171.21	Facility		$1,769.38	$1,769.38	$3,171.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,769.38 / $3,171.00 / $3,963.75	Professional		$1,769.38	$3,171.00	$3,963.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,450.48 / $2,821.94 / $3,135.49	Professional		$2,450.48	$2,821.94	$3,135.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,838.49 / $3,704.41 / $12,904.54	Facility		$1,838.49	$3,704.41	$12,904.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,365.58 / $1,731.46 / $3,938.91	Professional		$1,365.58	$1,731.46	$3,938.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,161.94 / $3,171.21 / $3,800.72	Facility		$3,161.94	$3,171.21	$3,800.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,629.33 / $3,684.34 / $6,060.13	Professional		$2,629.33	$3,684.34	$6,060.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,365.58 / $1,529.83 / $3,778.31	Professional		$1,365.58	$1,529.83	$3,778.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,825.26 / $2,825.26 / $2,825.26	Facility		$2,825.26	$2,825.26	$2,825.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,231.96 / $2,825.26 / $2,825.26	Professional		$2,231.96	$2,825.26	$2,825.26