Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,821.01 / $3,450.25 / $3,450.25	Facility		$2,821.01	$3,450.25	$3,450.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,497.63 / $2,076.21 / $3,148.01	Professional		$1,497.63	$2,076.21	$3,148.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $4,409.09	Facility		$2,160.07	$2,160.07	$4,409.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,160.07 / $4,775.25 / $5,969.06	Professional		$2,160.07	$4,775.25	$5,969.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,595.12 / $4,119.22 / $4,698.76	Professional		$3,595.12	$4,119.22	$4,698.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,556.14 / $5,210.74 / $18,029.93	Facility		$2,556.14	$5,210.74	$18,029.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,916.21 / $2,438.48 / $5,476.46	Professional		$1,916.21	$2,438.48	$5,476.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,396.18 / $4,409.09 / $5,284.33	Facility		$4,396.18	$4,409.09	$5,284.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,611.08 / $5,150.43 / $8,425.68	Professional		$3,611.08	$5,150.43	$8,425.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,848.87 / $2,066.34 / $5,253.16	Professional		$1,848.87	$2,066.34	$5,253.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,928.09 / $3,928.09 / $3,928.09	Facility		$3,928.09	$3,928.09	$3,928.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,103.19 / $3,928.09 / $3,928.09	Professional		$3,103.19	$3,928.09	$3,928.09