Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,307.29 / $3,847.77 / $3,847.77	Facility		$3,307.29	$3,847.77	$3,847.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.40 / $2,451.05 / $3,714.37	Professional		$1,720.40	$2,451.05	$3,714.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $5,234.93	Facility		$2,550.04	$2,550.04	$5,234.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,550.04 / $5,325.75 / $6,657.19	Professional		$2,550.04	$5,325.75	$6,657.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,129.89 / $4,759.03 / $5,398.50	Professional		$4,129.89	$4,759.03	$5,398.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,034.91 / $6,186.74 / $21,140.73	Facility		$3,034.91	$6,186.74	$21,140.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,275.13 / $2,895.22 / $6,502.24	Professional		$2,275.13	$2,895.22	$6,502.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,219.62 / $5,234.93 / $6,274.11	Facility		$5,219.62	$5,234.93	$6,274.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,239.00 / $6,115.12 / $10,003.87	Professional		$4,239.00	$6,115.12	$10,003.87
United Facility/Professional Facility Modifier Low / Median / High Price $6,529.56 / $6,529.56 / $10,610.54	Facility		$6,529.56	$6,529.56	$10,610.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,275.13 / $2,398.59 / $5,599.52	Professional		$2,275.13	$2,398.59	$5,599.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,663.85 / $4,663.85 / $4,663.85	Facility		$4,663.85	$4,663.85	$4,663.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,684.44 / $4,663.85 / $4,663.85	Professional		$3,684.44	$4,663.85	$4,663.85