Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,470.12 / $3,210.88 / $3,210.88	Facility		$2,470.12	$3,210.88	$3,210.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.33 / $1,871.80 / $2,778.32	Professional		$1,294.33	$1,871.80	$2,778.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $3,915.68	Facility		$2,479.82	$2,479.82	$3,915.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,479.82 / $4,444.13 / $5,555.16	Professional		$2,479.82	$4,444.13	$5,555.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,258.43 / $4,162.38 / $5,211.95	Professional		$3,258.43	$4,162.38	$5,211.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,270.09 / $4,627.62 / $16,444.91	Facility		$2,270.09	$4,627.62	$16,444.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,701.77 / $2,165.60 / $4,863.60	Professional		$1,701.77	$2,165.60	$4,863.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,904.23 / $3,915.68 / $4,720.13	Facility		$3,904.23	$3,915.68	$4,720.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,206.96 / $4,574.06 / $7,482.81	Professional		$3,206.96	$4,574.06	$7,482.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,701.77 / $1,794.12 / $4,188.42	Professional		$1,701.77	$1,794.12	$4,188.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,488.52 / $3,488.52 / $3,488.52	Facility		$3,488.52	$3,488.52	$3,488.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,755.93 / $3,488.52 / $3,488.52	Professional		$2,755.93	$3,488.52	$3,488.52