Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,471.44 / $3,206.09 / $3,206.09	Facility		$2,471.44	$3,206.09	$3,206.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.76 / $1,908.56 / $2,782.54	Professional		$1,323.76	$1,908.56	$2,782.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $3,679.93	Facility		$2,476.09	$2,476.09	$3,679.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,476.09 / $4,437.38 / $5,546.72	Professional		$2,476.09	$4,437.38	$5,546.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,178.12 / $3,827.72 / $4,431.12	Professional		$3,178.12	$3,827.72	$4,431.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,133.41 / $4,349.01 / $16,803.40	Facility		$2,133.41	$4,349.01	$16,803.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,599.31 / $2,136.96 / $4,570.77	Professional		$1,599.31	$2,136.96	$4,570.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,669.16 / $3,679.93 / $4,827.49	Facility		$3,669.16	$3,679.93	$4,827.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,013.88 / $4,330.43 / $7,032.28	Professional		$3,013.88	$4,330.43	$7,032.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,599.31 / $1,885.76 / $4,384.41	Professional		$1,599.31	$1,885.76	$4,384.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,278.48 / $3,278.48 / $3,278.48	Facility		$3,278.48	$3,278.48	$3,278.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,590.00 / $3,278.48 / $3,278.48	Professional		$2,590.00	$3,278.48	$3,278.48