Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,552.79 / $4,045.84 / $4,045.84	Facility		$3,552.79	$4,045.84	$4,045.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,023.07 / $2,591.62 / $4,082.38	Professional		$2,023.07	$2,591.62	$4,082.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $5,287.19	Facility		$2,886.72	$2,886.72	$5,287.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,886.72 / $5,599.88 / $6,999.84	Professional		$2,886.72	$5,599.88	$6,999.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,588.78 / $4,830.29 / $5,782.00	Professional		$4,588.78	$4,830.29	$5,782.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,065.21 / $6,248.50 / $22,493.11	Facility		$3,065.21	$6,248.50	$22,493.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,297.84 / $3,007.15 / $6,567.15	Professional		$2,297.84	$3,007.15	$6,567.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,271.72 / $5,287.19 / $6,555.16	Facility		$5,271.72	$5,287.19	$6,555.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,330.25 / $6,176.17 / $10,103.74	Professional		$4,330.25	$6,176.17	$10,103.74
United Facility/Professional Facility Modifier Low / Median / High Price $6,904.03 / $6,904.03 / $11,219.05	Facility		$6,904.03	$6,904.03	$11,219.05
United Facility/Professional Professional Modifier Low / Median / High Price $2,297.84 / $2,487.94 / $6,299.38	Professional		$2,297.84	$2,487.94	$6,299.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,710.41 / $4,710.41 / $4,710.41	Facility		$4,710.41	$4,710.41	$4,710.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,721.22 / $4,710.41 / $4,710.41	Professional		$3,721.22	$4,710.41	$4,710.41