Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,589.66 / $3,596.05 / $3,596.05	Facility		$3,589.66	$3,596.05	$3,596.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,549.96 / $2,222.50 / $3,262.35	Professional		$1,549.96	$2,222.50	$3,262.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $4,597.87	Facility		$2,717.61	$2,717.61	$4,597.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,717.61 / $4,977.38 / $6,221.72	Professional		$2,717.61	$4,977.38	$6,221.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,720.76 / $4,293.29 / $4,582.53	Professional		$3,720.76	$4,293.29	$4,582.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,665.57 / $5,433.84 / $19,464.45	Facility		$2,665.57	$5,433.84	$19,464.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,998.26 / $2,578.86 / $5,710.94	Professional		$1,998.26	$2,578.86	$5,710.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,584.42 / $4,597.87 / $5,621.54	Facility		$4,584.42	$4,597.87	$5,621.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,084.00 / $5,370.93 / $8,786.44	Professional		$4,084.00	$5,370.93	$8,786.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,998.26 / $2,133.60 / $3,978.47	Professional		$1,998.26	$2,133.60	$3,978.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,096.28 / $4,096.28 / $4,096.28	Facility		$4,096.28	$4,096.28	$4,096.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,236.06 / $4,096.28 / $4,096.28	Professional		$3,236.06	$4,096.28	$4,096.28