Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.54 / $2,690.92 / $2,690.92	Facility		$1,823.54	$2,690.92	$2,690.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.66 / $1,568.68 / $2,388.67	Professional		$1,020.66	$1,568.68	$2,388.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $3,366.53	Facility		$1,787.17	$1,787.17	$3,366.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,004.51 / $3,724.50 / $4,655.63	Professional		$3,004.51	$3,724.50	$4,655.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,730.76 / $3,212.66 / $3,439.70	Professional		$2,730.76	$3,212.66	$3,439.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,951.72 / $3,920.22 / $13,048.73	Facility		$1,951.72	$3,920.22	$13,048.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,411.69 / $1,749.23 / $4,181.50	Professional		$1,411.69	$1,749.23	$4,181.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,356.67 / $3,366.53 / $4,034.81	Facility		$3,356.67	$3,366.53	$4,034.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,711.86 / $3,722.13 / $6,433.37	Professional		$2,711.86	$3,722.13	$6,433.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.59 / $1,577.73 / $4,011.00	Professional		$1,379.59	$1,577.73	$4,011.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,999.27 / $2,999.27 / $2,999.27	Facility		$2,999.27	$2,999.27	$2,999.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,369.42 / $2,999.27 / $2,999.27	Professional		$2,369.42	$2,999.27	$2,999.27