Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,477.90 / $3,101.56 / $3,101.56	Facility		$2,477.90	$3,101.56	$3,101.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.56 / $1,974.14 / $3,101.56	Professional		$1,432.56	$1,974.14	$3,101.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $4,449.35	Facility		$2,400.00	$2,400.00	$4,449.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $4,293.00 / $5,366.25	Professional		$2,400.00	$4,293.00	$5,366.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,438.92 / $4,044.87 / $4,494.62	Professional		$3,438.92	$4,044.87	$4,494.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,579.48 / $5,197.46 / $17,077.79	Facility		$2,579.48	$5,197.46	$17,077.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,865.75 / $2,297.27 / $5,388.09	Professional		$1,865.75	$2,297.27	$5,388.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,436.34 / $4,449.35 / $5,332.59	Facility		$4,436.34	$4,449.35	$5,332.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,584.12 / $4,993.33 / $8,502.62	Professional		$3,584.12	$4,993.33	$8,502.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,850.75 / $2,085.19 / $4,759.18	Professional		$1,850.75	$2,085.19	$4,759.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,963.97 / $3,963.97 / $3,963.97	Facility		$3,963.97	$3,963.97	$3,963.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,131.54 / $3,963.97 / $3,963.97	Professional		$3,131.54	$3,963.97	$3,963.97