Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,159.28 / $4,398.42 / $4,398.42	Facility		$4,159.28	$4,398.42	$4,398.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,266.67 / $2,859.85 / $5,043.59	Professional		$2,266.67	$2,859.85	$5,043.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $6,215.41	Facility		$3,323.97	$3,323.97	$6,215.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,323.97 / $6,087.75 / $7,609.69	Professional		$3,323.97	$6,087.75	$7,609.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,008.08 / $5,522.93 / $6,136.59	Professional		$5,008.08	$5,522.93	$6,136.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,599.95 / $7,199.90 / $25,033.69	Facility		$3,599.95	$7,199.90	$25,033.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,681.11 / $3,382.48 / $7,720.03	Professional		$2,681.11	$3,382.48	$7,720.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,215.41 / $6,215.41 / $8,635.52	Facility		$6,215.41	$6,215.41	$8,635.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,197.22 / $7,260.45 / $11,980.33	Professional		$6,197.22	$7,260.45	$11,980.33
United Facility/Professional Professional Modifier Low / Median / High Price $2,693.22 / $2,818.90 / $6,220.08	Professional		$2,693.22	$2,818.90	$6,220.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5,537.36 / $5,537.36 / $5,537.36	Facility		$5,537.36	$5,537.36	$5,537.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,374.51 / $5,537.36 / $5,537.36	Professional		$4,374.51	$5,537.36	$5,537.36