Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,558.37 / $4,849.53 / $4,849.53	Facility		$4,558.37	$4,849.53	$4,849.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.55 / $3,131.93 / $4,849.53	Professional		$2,176.55	$3,131.93	$4,849.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $7,621.60	Facility		$3,745.37	$3,745.37	$7,621.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,414.69 / $6,768.36 / $8,390.16	Professional		$5,414.69	$6,768.36	$8,390.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,542.98 / $6,594.87 / $7,056.83	Professional		$5,542.98	$6,594.87	$7,056.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,418.56 / $8,343.41 / $27,462.75	Facility		$4,418.56	$8,343.41	$27,462.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,094.49 / $3,902.28 / $9,080.68	Professional		$3,094.49	$3,902.28	$9,080.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,599.31 / $7,621.60 / $9,134.56	Facility		$7,599.31	$7,621.60	$9,134.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,965.23 / $8,207.84 / $14,564.75	Professional		$5,965.23	$8,207.84	$14,564.75
United Facility/Professional Professional Modifier Low / Median / High Price $3,006.65 / $3,456.67 / $7,526.75	Professional		$3,006.65	$3,456.67	$7,526.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6,790.16 / $6,790.16 / $6,790.16	Facility		$6,790.16	$6,790.16	$6,790.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,364.23 / $6,790.16 / $6,790.16	Professional		$5,364.23	$6,790.16	$6,790.16