Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,466.84 / $4,897.79	Facility		$3,981.07	$4,466.84	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $4,466.84	Professional		$1,995.26	$2,884.03	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $6,309.57	Facility		$3,801.89	$3,801.89	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,760.83 / $8,511.38	Professional		$3,801.89	$6,760.83	$8,511.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,888.44 / $6,456.54	Professional		$4,786.30	$5,888.44	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,079.46 / $24,547.09	Facility		$3,890.45	$7,079.46	$24,547.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $9,549.93	Professional		$2,630.27	$3,630.78	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,456.54 / $7,413.10	Professional		$6,165.95	$6,456.54	$7,413.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $9,549.93 / $9,549.93	Professional		$5,370.32	$9,549.93	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $7,585.78	Facility		$2,344.23	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,884.03 / $5,128.61	Professional		$2,630.27	$2,884.03	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $5,495.41	Professional		$4,365.16	$5,495.41	$5,495.41