Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,594.10 / $5,105.93 / $5,105.93	Facility		$4,594.10	$5,105.93	$5,105.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,188.38 / $3,155.15 / $4,599.97	Professional		$2,188.38	$3,155.15	$4,599.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $5,894.99	Facility		$3,943.38	$3,943.38	$5,894.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,943.38 / $7,066.88 / $8,833.59	Professional		$3,943.38	$7,066.88	$8,833.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,197.62 / $6,266.38 / $7,896.59	Professional		$5,197.62	$6,266.38	$7,896.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,417.58 / $6,966.80 / $27,719.31	Facility		$3,417.58	$6,966.80	$27,719.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,620.82 / $3,494.42 / $7,322.07	Professional		$2,620.82	$3,494.42	$7,322.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,877.75 / $5,894.99 / $7,980.57	Facility		$5,877.75	$5,894.99	$7,980.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,337.46 / $6,966.80 / $11,265.21	Professional		$5,337.46	$6,966.80	$11,265.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,561.98 / $2,762.71 / $7,023.52	Professional		$2,561.98	$2,762.71	$7,023.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5,251.90 / $5,251.90 / $5,251.90	Facility		$5,251.90	$5,251.90	$5,251.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,149.00 / $5,251.90 / $5,251.90	Professional		$4,149.00	$5,251.90	$5,251.90