Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,701.66 / $2,751.49 / $2,751.49	Facility		$2,701.66	$2,751.49	$2,751.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.17 / $1,672.70 / $2,438.67	Professional		$1,160.17	$1,672.70	$2,438.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $3,321.18	Facility		$2,125.02	$2,125.02	$3,321.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,125.02 / $3,808.13 / $4,760.16	Professional		$2,125.02	$3,808.13	$4,760.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,792.22 / $3,284.97 / $3,640.30	Professional		$2,792.22	$3,284.97	$3,640.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,925.43 / $3,925.03 / $14,520.96	Facility		$1,925.43	$3,925.03	$14,520.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,443.40 / $1,928.63 / $4,125.17	Professional		$1,443.40	$1,928.63	$4,125.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,311.47 / $3,321.18 / $4,230.89	Facility		$3,311.47	$3,321.18	$4,230.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,950.00 / $3,879.59 / $6,346.70	Professional		$2,950.00	$3,879.59	$6,346.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.40 / $1,602.17 / $3,552.43	Professional		$1,443.40	$1,602.17	$3,552.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,958.87 / $2,958.87 / $2,958.87	Facility		$2,958.87	$2,958.87	$2,958.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,337.51 / $2,958.87 / $2,958.87	Professional		$2,337.51	$2,958.87	$2,958.87