Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,475.48 / $3,140.05 / $3,140.05	Facility		$2,475.48	$3,140.05	$3,140.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.10 / $1,896.54 / $2,913.57	Professional		$1,386.10	$1,896.54	$2,913.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $3,544.39	Facility		$2,425.11	$2,425.11	$3,544.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,425.11 / $4,346.25 / $5,432.81	Professional		$2,425.11	$4,346.25	$5,432.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,125.06 / $3,748.87 / $4,489.07	Professional		$3,125.06	$3,748.87	$4,489.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,054.83 / $4,188.82 / $16,380.05	Facility		$2,054.83	$4,188.82	$16,380.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,575.35 / $2,100.46 / $4,402.41	Professional		$1,575.35	$2,100.46	$4,402.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,534.02 / $3,544.39 / $4,797.08	Facility		$3,534.02	$3,544.39	$4,797.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,902.85 / $4,188.82 / $6,773.23	Professional		$2,902.85	$4,188.82	$6,773.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,575.35 / $1,607.50 / $3,117.13	Professional		$1,575.35	$1,607.50	$3,117.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,157.73 / $3,157.73 / $3,157.73	Facility		$3,157.73	$3,157.73	$3,157.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,494.61 / $3,157.73 / $3,157.73	Professional		$2,494.61	$3,157.73	$3,157.73