Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,527.33 / $3,329.94 / $3,329.94	Facility		$2,527.33	$3,329.94	$3,329.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.38 / $1,967.69 / $3,051.05	Professional		$1,371.38	$1,967.69	$3,051.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $3,670.96	Facility		$2,571.77	$2,571.77	$3,670.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,571.77 / $4,608.75 / $5,760.94	Professional		$2,571.77	$4,608.75	$5,760.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,236.70 / $3,931.75 / $4,164.68	Professional		$3,236.70	$3,931.75	$4,164.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,128.21 / $4,338.41 / $16,090.64	Facility		$2,128.21	$4,338.41	$16,090.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,595.41 / $2,131.77 / $4,559.63	Professional		$1,595.41	$2,131.77	$4,559.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,660.21 / $3,670.96 / $4,665.14	Facility		$3,660.21	$3,670.96	$4,665.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,006.54 / $4,288.18 / $7,015.13	Professional		$3,006.54	$4,288.18	$7,015.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,595.41 / $1,895.38 / $4,373.72	Professional		$1,595.41	$1,895.38	$4,373.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,270.50 / $3,270.50 / $3,270.50	Facility		$3,270.50	$3,270.50	$3,270.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,583.69 / $3,270.50 / $3,270.50	Professional		$2,583.69	$3,270.50	$3,270.50