Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.50 / $2,528.64 / $2,528.64	Facility		$2,220.50	$2,528.64	$2,528.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.41 / $1,619.76 / $2,551.48	Professional		$1,264.41	$1,619.76	$2,551.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.91 / $1,952.91 / $3,304.54	Facility		$1,952.91	$1,952.91	$3,304.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,952.91 / $3,499.88 / $4,374.84	Professional		$1,952.91	$3,499.88	$4,374.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,867.98 / $3,019.76 / $3,624.94	Professional		$2,867.98	$3,019.76	$3,624.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,915.78 / $3,905.37 / $14,058.21	Facility		$1,915.78	$3,905.37	$14,058.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,436.16 / $1,879.47 / $4,104.50	Professional		$1,436.16	$1,879.47	$4,104.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,294.88 / $3,304.54 / $4,096.97	Facility		$3,294.88	$3,304.54	$4,096.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,706.42 / $3,860.16 / $6,314.89	Professional		$2,706.42	$3,860.16	$6,314.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,436.16 / $1,594.14 / $3,534.64	Professional		$1,436.16	$1,594.14	$3,534.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,944.05 / $2,944.05 / $2,944.05	Facility		$2,944.05	$2,944.05	$2,944.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,325.80 / $2,944.05 / $2,944.05	Professional		$2,325.80	$2,944.05	$2,944.05