Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.55 / $3,189.19 / $3,189.19	Facility		$2,800.55	$3,189.19	$3,189.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.72 / $2,042.88 / $3,218.01	Professional		$1,594.72	$2,042.88	$3,218.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $4,167.68	Facility		$2,463.07	$2,463.07	$4,167.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,463.07 / $4,414.13 / $5,517.66	Professional		$2,463.07	$4,414.13	$5,517.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,606.24 / $3,807.55 / $4,402.83	Professional		$3,606.24	$3,807.55	$4,402.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,416.17 / $4,925.43 / $17,730.55	Facility		$2,416.17	$4,925.43	$17,730.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,811.29 / $2,370.42 / $5,176.60	Professional		$1,811.29	$2,370.42	$5,176.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,155.47 / $4,167.68 / $5,167.22	Facility		$4,155.47	$4,167.68	$5,167.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,413.35 / $4,868.42 / $7,964.37	Professional		$3,413.35	$4,868.42	$7,964.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,811.29 / $2,018.47 / $4,949.82	Professional		$1,811.29	$2,018.47	$4,949.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,713.02 / $3,713.02 / $3,713.02	Facility		$3,713.02	$3,713.02	$3,713.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,933.29 / $3,713.02 / $3,713.02	Professional		$2,933.29	$3,713.02	$3,713.02