Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,370.73 / $3,254.09 / $3,254.09	Facility		$2,370.73	$3,254.09	$3,254.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,429.17 / $1,935.78 / $3,004.10	Professional		$1,429.17	$1,935.78	$3,004.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $4,177.51	Facility		$2,561.34	$2,561.34	$4,177.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,561.34 / $4,503.75 / $5,629.69	Professional		$2,561.34	$4,503.75	$5,629.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,430.77 / $3,885.03 / $4,665.72	Professional		$3,430.77	$3,885.03	$4,665.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,421.88 / $4,896.33 / $16,910.75	Facility		$2,421.88	$4,896.33	$16,910.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,814.80 / $2,301.04 / $5,188.81	Professional		$1,814.80	$2,301.04	$5,188.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,165.30 / $4,177.51 / $5,006.79	Facility		$4,165.30	$4,177.51	$5,006.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,365.14 / $4,879.91 / $7,983.14	Professional		$3,365.14	$4,879.91	$7,983.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,814.80 / $2,124.81 / $4,977.25	Professional		$1,814.80	$2,124.81	$4,977.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,721.79 / $3,721.79 / $3,721.79	Facility		$3,721.79	$3,721.79	$3,721.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,940.21 / $3,721.79 / $3,721.79	Professional		$2,940.21	$3,721.79	$3,721.79