Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,516.07 / $4,632.92 / $4,632.92	Facility		$3,516.07	$4,632.92	$4,632.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,123.39 / $2,902.58 / $4,463.35	Professional		$2,123.39	$2,902.58	$4,463.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $5,316.05	Facility		$3,578.08	$3,578.08	$5,316.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,171.21 / $6,412.50 / $8,015.63	Professional		$5,171.21	$6,412.50	$8,015.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,687.17 / $5,650.98 / $10,113.42	Professional		$4,687.17	$5,650.98	$10,113.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,081.93 / $6,371.33 / $25,854.57	Facility		$3,081.93	$6,371.33	$25,854.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,389.51 / $3,214.69 / $6,602.97	Professional		$2,389.51	$3,214.69	$6,602.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,300.49 / $5,316.05 / $7,341.72	Facility		$5,300.49	$5,316.05	$7,341.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,353.88 / $6,282.60 / $10,158.86	Professional		$4,353.88	$6,282.60	$10,158.86
United Facility/Professional Professional Modifier Low / Median / High Price $2,389.51 / $2,744.76 / $6,333.74	Professional		$2,389.51	$2,744.76	$6,333.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,736.10 / $4,736.10 / $4,736.10	Facility		$4,736.10	$4,736.10	$4,736.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,741.53 / $4,736.10 / $4,736.10	Professional		$3,741.53	$4,736.10	$4,736.10