Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,030.99 / $2,312.83 / $2,312.83	Facility		$2,030.99	$2,312.83	$2,312.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.49 / $1,481.52 / $2,333.69	Professional		$1,156.49	$1,481.52	$2,333.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $3,022.51	Facility		$1,786.24	$1,786.24	$3,022.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,786.24 / $3,201.00 / $4,001.25	Professional		$1,786.24	$3,201.00	$4,001.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,623.21 / $2,958.33 / $3,624.96	Professional		$2,623.21	$2,958.33	$3,624.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,752.28 / $3,572.06 / $12,858.35	Facility		$1,752.28	$3,572.06	$12,858.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,313.60 / $1,719.06 / $3,754.22	Professional		$1,313.60	$1,719.06	$3,754.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,013.66 / $3,022.51 / $3,747.31	Facility		$3,013.66	$3,022.51	$3,747.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,475.46 / $3,530.71 / $5,775.97	Professional		$2,475.46	$3,530.71	$5,775.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.60 / $1,388.93 / $3,232.99	Professional		$1,313.60	$1,388.93	$3,232.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,692.79 / $2,692.79 / $2,692.79	Facility		$2,692.79	$2,692.79	$2,692.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,127.30 / $2,692.79 / $2,692.79	Professional		$2,127.30	$2,692.79	$2,692.79