Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,088.39 / $2,378.23 / $2,378.23	Facility		$2,088.39	$2,378.23	$2,378.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.20 / $1,523.40 / $2,399.71	Professional		$1,189.20	$1,523.40	$2,399.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $3,107.93	Facility		$1,584.92	$1,584.92	$3,107.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.92 / $3,291.75 / $4,114.68	Professional		$1,584.92	$3,291.75	$4,114.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,697.39 / $3,195.73 / $3,836.18	Professional		$2,697.39	$3,195.73	$3,836.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,801.80 / $3,630.49 / $13,221.84	Facility		$1,801.80	$3,630.49	$13,221.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,350.72 / $1,804.81 / $3,860.30	Professional		$1,350.72	$1,804.81	$3,860.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,098.84 / $3,107.93 / $3,853.25	Facility		$3,098.84	$3,107.93	$3,853.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,545.42 / $3,630.49 / $5,939.19	Professional		$2,545.42	$3,630.49	$5,939.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.25 / $1,505.19 / $3,691.17	Professional		$1,303.25	$1,505.19	$3,691.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,768.88 / $2,768.88 / $2,768.88	Facility		$2,768.88	$2,768.88	$2,768.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.42 / $2,768.88 / $2,768.88	Professional		$2,187.42	$2,768.88	$2,768.88