Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,570.88	Facility		$3,801.89	$3,801.89	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $4,073.80	Professional		$1,995.26	$2,691.53	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $5,495.41	Facility		$3,548.13	$3,548.13	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,309.57 / $7,943.28	Professional		$3,548.13	$6,309.57	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $6,918.31	Professional		$4,677.35	$5,754.40	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,309.57 / $23,988.33	Facility		$3,388.44	$6,309.57	$23,988.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,467.37 / $8,317.64	Professional		$2,344.23	$3,467.37	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,623.41 / $6,918.31	Professional		$5,370.32	$5,623.41	$6,918.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $8,317.64 / $8,317.64	Professional		$5,248.07	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $7,413.10	Facility		$2,238.72	$3,801.89	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $4,570.88	Professional		$2,290.87	$2,630.27	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $4,786.30	Professional		$3,801.89	$4,786.30	$4,786.30