Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,888.36 / $3,289.20 / $3,289.20	Facility		$2,888.36	$3,289.20	$3,289.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,644.71 / $2,106.94 / $3,318.89	Professional		$1,644.71	$2,106.94	$3,318.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $4,298.38	Facility		$2,540.30	$2,540.30	$4,298.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,540.30 / $4,552.50 / $5,690.63	Professional		$2,540.30	$4,552.50	$5,690.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,730.60 / $4,309.67 / $5,280.80	Professional		$3,730.60	$4,309.67	$5,280.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,491.96 / $5,079.91 / $18,286.54	Facility		$2,491.96	$5,079.91	$18,286.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,868.09 / $2,444.77 / $5,338.95	Professional		$1,868.09	$2,444.77	$5,338.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,285.81 / $4,298.38 / $5,329.25	Facility		$4,285.81	$4,298.38	$5,329.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,520.40 / $5,021.10 / $8,214.12	Professional		$3,520.40	$5,021.10	$8,214.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,868.09 / $2,014.45 / $4,597.83	Professional		$1,868.09	$2,014.45	$4,597.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,829.47 / $3,829.47 / $3,829.47	Facility		$3,829.47	$3,829.47	$3,829.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,025.28 / $3,829.47 / $3,829.47	Professional		$3,025.28	$3,829.47	$3,829.47