Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,437.19 / $2,437.19 / $2,501.19	Facility		$2,437.19	$2,437.19	$2,501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.72 / $1,715.30 / $2,437.19	Professional		$1,189.72	$1,715.30	$2,437.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $3,343.78	Facility		$2,050.41	$2,050.41	$3,343.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.23 / $3,373.13 / $4,216.41	Professional		$2,721.23	$3,373.13	$4,216.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,855.97 / $3,189.87 / $3,908.66	Professional		$2,855.97	$3,189.87	$3,908.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,938.52 / $3,951.74 / $15,093.28	Facility		$1,938.52	$3,951.74	$15,093.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,453.22 / $1,941.75 / $4,153.24	Professional		$1,453.22	$1,941.75	$4,153.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,333.99 / $3,343.78 / $4,338.64	Facility		$3,333.99	$3,343.78	$4,338.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,930.47 / $3,905.98 / $6,389.89	Professional		$2,930.47	$3,905.98	$6,389.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,453.22 / $1,532.07 / $3,576.56	Professional		$1,453.22	$1,532.07	$3,576.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,979.00 / $2,979.00 / $2,979.00	Facility		$2,979.00	$2,979.00	$2,979.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,353.41 / $2,979.00 / $2,979.00	Professional		$2,353.41	$2,979.00	$2,979.00