Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,841.11 / $3,841.11 / $4,316.92	Facility		$3,841.11	$3,841.11	$4,316.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,853.81 / $2,672.78 / $3,865.63	Professional		$1,853.81	$2,672.78	$3,865.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $5,448.11	Facility		$2,780.72	$2,780.72	$5,448.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,780.72 / $5,316.38 / $6,645.47	Professional		$2,780.72	$5,316.38	$6,645.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,450.14 / $4,952.83 / $5,899.43	Professional		$4,450.14	$4,952.83	$5,899.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,158.50 / $6,438.68 / $23,421.34	Facility		$3,158.50	$6,438.68	$23,421.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,367.77 / $3,101.33 / $6,760.46	Professional		$2,367.77	$3,101.33	$6,760.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,432.17 / $5,448.11 / $6,760.46	Facility		$5,432.17	$5,448.11	$6,760.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,754.00 / $6,364.14 / $10,411.21	Professional		$4,754.00	$6,364.14	$10,411.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,231.02 / $2,565.86 / $5,961.63	Professional		$2,231.02	$2,565.86	$5,961.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,853.77 / $4,853.77 / $4,853.77	Facility		$4,853.77	$4,853.77	$4,853.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,834.48 / $4,853.77 / $4,853.77	Professional		$3,834.48	$4,853.77	$4,853.77