Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,680.93 / $2,964.61 / $2,964.61	Facility		$2,680.93	$2,964.61	$2,964.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.94 / $1,732.93 / $2,631.59	Professional		$1,201.94	$1,732.93	$2,631.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $3,708.89	Facility		$2,289.62	$2,289.62	$3,708.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,310.09 / $4,103.25 / $5,129.06	Professional		$3,310.09	$4,103.25	$5,129.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,008.51 / $3,539.42 / $3,772.46	Professional		$3,008.51	$3,539.42	$3,772.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,150.19 / $4,383.21 / $15,617.77	Facility		$2,150.19	$4,383.21	$15,617.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,611.89 / $2,051.21 / $4,606.74	Professional		$1,611.89	$2,051.21	$4,606.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,698.05 / $3,708.89 / $4,445.14	Facility		$3,698.05	$3,708.89	$4,445.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,141.05 / $4,332.50 / $7,087.59	Professional		$3,141.05	$4,332.50	$7,087.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,663.61 / $1,682.11 / $4,192.43	Professional		$1,663.61	$1,682.11	$4,192.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,304.29 / $3,304.29 / $3,304.29	Facility		$3,304.29	$3,304.29	$3,304.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,610.39 / $3,304.29 / $3,304.29	Professional		$2,610.39	$3,304.29	$3,304.29