Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,649.91 / $4,067.67 / $4,067.67	Facility		$2,649.91	$4,067.67	$4,067.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.42 / $2,371.27 / $3,467.03	Professional		$1,608.42	$2,371.27	$3,467.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $4,886.33	Facility		$3,141.52	$3,141.52	$4,886.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,141.52 / $5,629.88 / $7,037.34	Professional		$3,141.52	$5,629.88	$7,037.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,127.89 / $4,856.35 / $5,195.59	Professional		$4,127.89	$4,856.35	$5,195.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,832.81 / $5,707.91 / $18,963.50	Facility		$2,832.81	$5,707.91	$18,963.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,050.83 / $2,600.32 / $6,069.22	Professional		$2,050.83	$2,600.32	$6,069.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,872.04 / $4,886.33 / $5,856.31	Facility		$4,872.04	$4,886.33	$5,856.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,936.12 / $5,533.15 / $9,337.66	Professional		$3,936.12	$5,533.15	$9,337.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,050.83 / $2,238.87 / $5,226.68	Professional		$2,050.83	$2,238.87	$5,226.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,353.28 / $4,353.28 / $4,353.28	Facility		$4,353.28	$4,353.28	$4,353.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,439.09 / $4,353.28 / $4,353.28	Professional		$3,439.09	$4,353.28	$4,353.28