Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,289.50 / $3,043.44 / $3,043.44	Facility		$2,289.50	$3,043.44	$3,043.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.44 / $1,774.19 / $2,658.01	Professional		$1,189.44	$1,774.19	$2,658.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $3,746.13	Facility		$1,784.15	$1,784.15	$3,746.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.15 / $4,212.38 / $5,265.47	Professional		$1,784.15	$4,212.38	$5,265.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,088.50 / $3,633.53 / $4,036.80	Professional		$3,088.50	$3,633.53	$4,036.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,171.78 / $4,375.97 / $15,230.69	Facility		$2,171.78	$4,375.97	$15,230.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,607.72 / $2,071.82 / $4,653.00	Professional		$1,607.72	$2,071.82	$4,653.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,735.16 / $3,746.13 / $4,489.76	Facility		$3,735.16	$3,746.13	$4,489.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,068.10 / $4,337.63 / $7,158.78	Professional		$3,068.10	$4,337.63	$7,158.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,607.72 / $1,807.17 / $4,463.28	Professional		$1,607.72	$1,807.17	$4,463.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,337.46 / $3,337.46 / $3,337.46	Facility		$3,337.46	$3,337.46	$3,337.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,636.59 / $3,337.46 / $3,337.46	Professional		$2,636.59	$3,337.46	$3,337.46