Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,772.95 / $3,157.76 / $3,157.76	Facility		$2,772.95	$3,157.76	$3,157.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,578.98 / $2,035.43 / $3,186.26	Professional		$1,578.98	$2,035.43	$3,186.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $4,126.67	Facility		$2,677.88	$2,677.88	$4,126.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,677.88 / $4,370.63 / $5,463.28	Professional		$2,677.88	$4,370.63	$5,463.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,581.52 / $3,842.74 / $4,708.66	Professional		$3,581.52	$3,842.74	$4,708.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,392.40 / $4,876.97 / $17,719.04	Facility		$2,392.40	$4,876.97	$17,719.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,793.47 / $2,361.79 / $5,125.67	Professional		$1,793.47	$2,361.79	$5,125.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,114.60 / $4,126.67 / $5,148.35	Facility		$4,114.60	$4,126.67	$5,148.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,379.76 / $4,820.51 / $7,886.00	Professional		$3,379.76	$4,820.51	$7,886.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,793.47 / $2,011.11 / $4,465.59	Professional		$1,793.47	$2,011.11	$4,465.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,676.49 / $3,676.49 / $3,676.49	Facility		$3,676.49	$3,676.49	$3,676.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,904.43 / $3,676.49 / $3,676.49	Professional		$2,904.43	$3,676.49	$3,676.49