Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,476.25 / $4,488.29 / $4,488.29	Facility		$3,476.25	$4,488.29	$4,488.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.77 / $2,685.69 / $3,929.91	Professional		$1,862.77	$2,685.69	$3,929.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $5,538.71	Facility		$3,813.78	$3,813.78	$5,538.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,813.78 / $6,212.25 / $7,765.31	Professional		$3,813.78	$6,212.25	$7,765.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,554.75 / $5,358.53 / $6,377.69	Professional		$4,554.75	$5,358.53	$6,377.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,211.02 / $6,545.75 / $23,822.60	Facility		$3,211.02	$6,545.75	$23,822.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,407.15 / $3,116.31 / $6,879.54	Professional		$2,407.15	$3,116.31	$6,879.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,522.51 / $5,538.71 / $6,793.12	Facility		$5,522.51	$5,538.71	$6,793.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,536.24 / $6,469.97 / $10,584.38	Professional		$4,536.24	$6,469.97	$10,584.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,407.15 / $2,578.26 / $5,924.47	Professional		$2,407.15	$2,578.26	$5,924.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,934.49 / $4,934.49 / $4,934.49	Facility		$4,934.49	$4,934.49	$4,934.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,898.25 / $4,934.49 / $4,934.49	Professional		$3,898.25	$4,934.49	$4,934.49