Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,979.38 / $3,403.48 / $3,403.48	Facility		$2,979.38	$3,403.48	$3,403.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,701.85 / $2,194.12 / $3,434.20	Professional		$1,701.85	$2,194.12	$3,434.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $4,443.21	Facility		$2,282.71	$2,282.71	$4,443.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,800.11 / $4,710.75 / $5,888.44	Professional		$3,800.11	$4,710.75	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,860.22 / $4,063.39 / $4,763.16	Professional		$3,860.22	$4,063.39	$4,763.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,575.92 / $5,251.06 / $19,065.24	Facility		$2,575.92	$5,251.06	$19,065.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,931.03 / $2,545.92 / $5,518.84	Professional		$1,931.03	$2,545.92	$5,518.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,430.21 / $4,443.21 / $5,549.74	Facility		$4,430.21	$4,443.21	$5,549.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,639.02 / $5,190.28 / $8,490.87	Professional		$3,639.02	$5,190.28	$8,490.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,931.03 / $2,015.15 / $4,752.63	Professional		$1,931.03	$2,015.15	$4,752.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,958.49 / $3,958.49 / $3,958.49	Facility		$3,958.49	$3,958.49	$3,958.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,127.21 / $3,958.49 / $3,958.49	Professional		$3,127.21	$3,958.49	$3,958.49