Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,468.19 / $3,602.89 / $3,602.89	Facility		$2,468.19	$3,602.89	$3,602.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,459.29 / $2,100.32 / $3,067.43	Professional		$1,459.29	$2,100.32	$3,067.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,782.58 / $2,782.58 / $4,016.71	Facility		$2,782.58	$2,782.58	$4,016.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,894.32 / $4,986.75 / $6,233.44	Professional		$3,894.32	$4,986.75	$6,233.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,503.09 / $4,301.46 / $4,710.83	Professional		$3,503.09	$4,301.46	$4,710.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,328.65 / $4,747.02 / $17,790.55	Facility		$2,328.65	$4,747.02	$17,790.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,745.68 / $2,332.54 / $4,989.07	Professional		$1,745.68	$2,332.54	$4,989.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,004.95 / $4,016.71 / $5,153.74	Facility		$4,004.95	$4,016.71	$5,153.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,289.70 / $4,692.06 / $7,675.84	Professional		$3,289.70	$4,692.06	$7,675.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,740.50 / $2,221.46 / $4,785.64	Professional		$1,740.50	$2,221.46	$4,785.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,578.52 / $3,578.52 / $3,578.52	Facility		$3,578.52	$3,578.52	$3,578.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,827.03 / $3,578.52 / $3,578.52	Professional		$2,827.03	$3,578.52	$3,578.52