Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,344.07 / $3,808.10 / $3,808.10	Facility		$3,344.07	$3,808.10	$3,808.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,904.18 / $2,439.35 / $3,842.49	Professional		$1,904.18	$2,439.35	$3,842.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $4,976.55	Facility		$2,941.06	$2,941.06	$4,976.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,251.91 / $5,270.63 / $6,588.28	Professional		$4,251.91	$5,270.63	$6,588.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,319.14 / $5,024.91 / $6,031.94	Professional		$4,319.14	$5,024.91	$6,031.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,885.12 / $5,813.30 / $21,171.57	Facility		$2,885.12	$5,813.30	$21,171.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,162.84 / $2,830.47 / $6,181.31	Professional		$2,162.84	$2,830.47	$6,181.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,962.00 / $4,976.55 / $6,170.03	Facility		$4,962.00	$4,976.55	$6,170.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,075.85 / $5,813.30 / $9,510.12	Professional		$4,075.85	$5,813.30	$9,510.12
United Facility/Professional Professional Modifier Low / Median / High Price $2,162.84 / $2,286.89 / $5,323.26	Professional		$2,162.84	$2,286.89	$5,323.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,433.66 / $4,433.66 / $4,433.66	Facility		$4,433.66	$4,433.66	$4,433.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,502.59 / $4,433.66 / $4,433.66	Professional		$3,502.59	$4,433.66	$4,433.66