Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,808.94 / $3,192.39 / $3,192.39	Facility		$2,808.94	$3,192.39	$3,192.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,641.12 / $2,418.63 / $3,221.22	Professional		$1,641.12	$2,418.63	$3,221.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $4,171.89	Facility		$2,381.07	$2,381.07	$4,171.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,381.07 / $4,418.63 / $5,523.28	Professional		$2,381.07	$4,418.63	$5,523.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,001.04 / $3,602.48 / $3,832.00	Professional		$3,001.04	$3,602.48	$3,832.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,494.36 / $5,427.06 / $17,752.32	Facility		$2,494.36	$5,427.06	$17,752.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,749.40 / $2,478.31 / $5,181.85	Professional		$1,749.40	$2,478.31	$5,181.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,171.89 / $4,171.89 / $5,173.64	Facility		$4,171.89	$4,171.89	$5,173.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,909.39 / $4,930.43 / $7,972.41	Professional		$3,909.39	$4,930.43	$7,972.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,749.40 / $1,955.18 / $3,609.89	Professional		$1,749.40	$1,955.18	$3,609.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,716.79 / $3,716.79 / $3,716.79	Facility		$3,716.79	$3,716.79	$3,716.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,936.26 / $3,716.79 / $3,716.79	Professional		$2,936.26	$3,716.79	$3,716.79