Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $4,365.16	Facility		$3,801.89	$3,890.45	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,890.45	Professional		$1,905.46	$2,511.89	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $5,495.41	Facility		$2,754.23	$2,754.23	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $6,606.93	Professional		$2,754.23	$5,370.32	$6,606.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $5,888.44	Professional		$4,168.69	$4,897.79	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,309.57 / $23,442.29	Facility		$3,388.44	$6,309.57	$23,442.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $8,317.64	Professional		$2,344.23	$3,311.31	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,623.41 / $6,760.83	Professional		$5,370.32	$5,623.41	$6,760.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $8,317.64 / $8,317.64	Professional		$5,128.61	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $7,244.36	Facility		$2,187.76	$3,388.44	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $4,570.88	Professional		$2,290.87	$2,570.40	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $4,897.79	Professional		$3,801.89	$4,897.79	$4,897.79