Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,520.85 / $2,870.69 / $2,870.69	Facility		$2,520.85	$2,870.69	$2,870.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.44 / $1,838.86 / $2,896.59	Professional		$1,435.44	$1,838.86	$2,896.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $3,751.50	Facility		$2,217.07	$2,217.07	$3,751.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,217.07 / $3,973.13 / $4,966.41	Professional		$2,217.07	$3,973.13	$4,966.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,255.94 / $3,655.54 / $4,479.28	Professional		$3,255.94	$3,655.54	$4,479.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,174.90 / $4,433.59 / $16,018.84	Facility		$2,174.90	$4,433.59	$16,018.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,630.42 / $2,133.69 / $4,659.67	Professional		$1,630.42	$2,133.69	$4,659.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,740.52 / $3,751.50 / $4,651.16	Facility		$3,740.52	$3,751.50	$4,651.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,072.50 / $4,382.26 / $7,169.06	Professional		$3,072.50	$4,382.26	$7,169.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.51 / $2,018.42 / $2,301.38	Facility		$1,261.51	$2,018.42	$2,301.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,573.12 / $1,936.95 / $4,012.75	Professional		$1,573.12	$1,936.95	$4,012.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,342.24 / $3,342.24 / $3,342.24	Facility		$3,342.24	$3,342.24	$3,342.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,640.37 / $3,342.24 / $3,342.24	Professional		$2,640.37	$3,342.24	$3,342.24