Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,407.84 / $3,943.24 / $3,943.24	Facility		$3,407.84	$3,943.24	$3,943.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,754.23 / $2,443.31 / $3,854.83	Professional		$1,754.23	$2,443.31	$3,854.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $5,432.90	Facility		$3,364.97	$3,364.97	$5,432.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,364.97 / $5,457.75 / $6,822.19	Professional		$3,364.97	$5,457.75	$6,822.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,211.10 / $4,899.00 / $5,443.34	Professional		$4,211.10	$4,899.00	$5,443.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,091.04 / $6,346.36 / $21,225.02	Facility		$3,091.04	$6,346.36	$21,225.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.61 / $2,904.34 / $6,748.11	Professional		$2,290.61	$2,904.34	$6,748.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,416.99 / $5,432.90 / $6,511.37	Facility		$5,416.99	$5,432.90	$6,511.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,376.41 / $6,180.06 / $10,382.16	Professional		$4,376.41	$6,180.06	$10,382.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.61 / $2,546.15 / $5,811.33	Professional		$2,290.61	$2,546.15	$5,811.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,840.22 / $4,840.22 / $4,840.22	Facility		$4,840.22	$4,840.22	$4,840.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,823.77 / $4,840.22 / $4,840.22	Professional		$3,823.77	$4,840.22	$4,840.22