Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,994.22 / $4,917.77 / $4,917.77	Facility		$3,994.22	$4,917.77	$4,917.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.42 / $2,866.84 / $4,418.03	Professional		$1,958.42	$2,866.84	$4,418.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $6,226.65	Facility		$3,798.08	$3,798.08	$6,226.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,798.08 / $6,806.63 / $8,508.28	Professional		$3,798.08	$6,806.63	$8,508.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,990.60 / $5,871.29 / $6,410.09	Professional		$4,990.60	$5,871.29	$6,410.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,609.85 / $7,273.58 / $24,802.46	Facility		$3,609.85	$7,273.58	$24,802.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,647.12 / $3,443.69 / $7,734.02	Professional		$2,647.12	$3,443.69	$7,734.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,208.44 / $6,226.65 / $7,462.69	Facility		$6,208.44	$6,226.65	$7,462.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,099.66 / $7,141.93 / $11,899.02	Professional		$5,099.66	$7,141.93	$11,899.02
United Facility/Professional Professional Modifier Low / Median / High Price $2,647.12 / $2,918.14 / $6,660.33	Professional		$2,647.12	$2,918.14	$6,660.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5,547.38 / $5,547.38 / $5,547.38	Facility		$5,547.38	$5,547.38	$5,547.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,382.43 / $5,547.38 / $5,547.38	Professional		$4,382.43	$5,547.38	$5,547.38