Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,463.73 / $2,463.73 / $2,682.85	Facility		$2,463.73	$2,463.73	$2,682.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.48 / $1,766.63 / $2,647.43	Professional		$1,259.48	$1,766.63	$2,647.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $3,939.20	Facility		$1,902.78	$1,902.78	$3,939.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.78 / $3,409.88 / $4,262.34	Professional		$1,902.78	$3,409.88	$4,262.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,941.43 / $3,581.09 / $4,158.17	Professional		$2,941.43	$3,581.09	$4,158.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,283.71 / $4,601.53 / $15,444.00	Facility		$2,283.71	$4,601.53	$15,444.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,656.22 / $2,099.98 / $4,693.31	Professional		$1,656.22	$2,099.98	$4,693.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,927.68 / $3,939.20 / $4,721.17	Facility		$3,927.68	$3,939.20	$4,721.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,173.17 / $4,468.47 / $7,527.72	Professional		$3,173.17	$4,468.47	$7,527.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,651.83 / $1,939.14 / $4,693.31	Professional		$1,651.83	$1,939.14	$4,693.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,509.47 / $3,509.47 / $3,509.47	Facility		$3,509.47	$3,509.47	$3,509.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,772.48 / $3,509.47 / $3,509.47	Professional		$2,772.48	$3,509.47	$3,509.47