Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,662.70 / $3,307.59 / $3,307.59	Facility		$2,662.70	$3,307.59	$3,307.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.01 / $1,966.59 / $3,059.85	Professional		$1,364.01	$1,966.59	$3,059.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $4,312.47	Facility		$2,694.60	$2,694.60	$4,312.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,693.05 / $4,578.00 / $5,722.50	Professional		$3,693.05	$4,578.00	$5,722.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,356.57 / $3,948.90 / $4,658.67	Professional		$3,356.57	$3,948.90	$4,658.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,500.13 / $5,037.57 / $17,419.57	Facility		$2,500.13	$5,037.57	$17,419.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,843.68 / $2,385.04 / $5,356.45	Professional		$1,843.68	$2,385.04	$5,356.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,299.85 / $4,312.47 / $5,168.54	Facility		$4,299.85	$4,312.47	$5,168.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,531.94 / $4,974.26 / $8,241.04	Professional		$3,531.94	$4,974.26	$8,241.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,843.68 / $1,955.86 / $4,612.78	Professional		$1,843.68	$1,955.86	$4,612.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,842.03 / $3,842.03 / $3,842.03	Facility		$3,842.03	$3,842.03	$3,842.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,035.20 / $3,842.03 / $3,842.03	Professional		$3,035.20	$3,842.03	$3,842.03