Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,773.00 / $2,979.62 / $2,979.62	Facility		$2,773.00	$2,979.62	$2,979.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,411.94 / $2,035.69 / $2,967.88	Professional		$1,411.94	$2,035.69	$2,967.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $4,140.47	Facility		$2,117.90	$2,117.90	$4,140.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,326.86 / $4,140.47 / $5,154.84	Professional		$3,326.86	$4,140.47	$5,154.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,389.41 / $3,764.06 / $4,429.72	Professional		$3,389.41	$3,764.06	$4,429.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,400.40 / $4,893.28 / $17,754.05	Facility		$2,400.40	$4,893.28	$17,754.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,799.45 / $2,362.09 / $5,142.79	Professional		$1,799.45	$2,362.09	$5,142.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,128.35 / $4,140.47 / $5,149.03	Facility		$4,128.35	$4,140.47	$5,149.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,391.04 / $4,836.63 / $7,912.32	Professional		$3,391.04	$4,836.63	$7,912.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,720.58 / $1,954.26 / $4,428.89	Professional		$1,720.58	$1,954.26	$4,428.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,688.78 / $3,688.78 / $3,688.78	Facility		$3,688.78	$3,688.78	$3,688.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,914.14 / $3,688.78 / $3,688.78	Professional		$2,914.14	$3,688.78	$3,688.78