Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,261.20 / $4,562.76 / $4,562.76	Facility		$3,261.20	$4,562.76	$4,562.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,820.74 / $2,659.88 / $3,827.19	Professional		$1,820.74	$2,659.88	$3,827.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $4,938.85	Facility		$3,523.90	$3,523.90	$4,938.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,523.90 / $6,315.38 / $7,894.22	Professional		$3,523.90	$6,315.38	$7,894.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,354.59 / $5,447.43 / $5,971.55	Professional		$4,354.59	$5,447.43	$5,971.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,863.26 / $5,836.82 / $23,227.17	Facility		$2,863.26	$5,836.82	$23,227.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,180.52 / $2,907.36 / $6,134.44	Professional		$2,180.52	$2,907.36	$6,134.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,924.39 / $4,938.85 / $6,639.84	Facility		$4,924.39	$4,938.85	$6,639.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,044.94 / $5,836.82 / $9,438.02	Professional		$4,044.94	$5,836.82	$9,438.02
United Facility/Professional Professional Modifier Low / Median / High Price $2,180.52 / $2,314.60 / $5,282.79	Professional		$2,180.52	$2,314.60	$5,282.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,400.06 / $4,400.06 / $4,400.06	Facility		$4,400.06	$4,400.06	$4,400.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,476.05 / $4,400.06 / $4,400.06	Professional		$3,476.05	$4,400.06	$4,400.06