Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $3,162.28	Facility		$2,454.71	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $3,090.30	Professional		$1,479.11	$1,862.09	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,570.88	Facility		$2,398.83	$2,398.83	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,265.80 / $5,370.32	Professional		$2,398.83	$4,265.80	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,466.84	Professional		$3,467.37	$4,073.80	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $16,982.44	Facility		$2,754.23	$5,011.87	$16,982.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $6,760.83	Professional		$1,905.46	$2,511.89	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,570.88 / $5,248.07	Professional		$4,466.84	$4,570.88	$5,248.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,760.83 / $6,760.83	Professional		$3,801.89	$6,760.83	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $5,370.32	Facility		$1,621.81	$2,511.89	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $3,715.35	Professional		$1,862.09	$1,995.26	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $3,981.07	Professional		$3,162.28	$3,981.07	$3,981.07