Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.06 / $4,133.89 / $4,133.89	Facility		$3,630.06	$4,133.89	$4,133.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,067.07 / $2,648.01 / $4,171.18	Professional		$2,067.07	$2,648.01	$4,171.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $5,402.23	Facility		$2,801.20	$2,801.20	$5,402.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,615.63 / $5,721.75 / $7,152.19	Professional		$4,615.63	$5,721.75	$7,152.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,688.64 / $5,114.49 / $6,266.98	Professional		$4,688.64	$5,114.49	$6,266.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,131.90 / $6,384.46 / $22,982.54	Facility		$3,131.90	$6,384.46	$22,982.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,347.83 / $3,072.59 / $6,710.01	Professional		$2,347.83	$3,072.59	$6,710.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,386.43 / $5,402.23 / $6,697.81	Facility		$5,386.43	$5,402.23	$6,697.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,424.46 / $6,310.55 / $10,323.54	Professional		$4,424.46	$6,310.55	$10,323.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,347.83 / $2,606.10 / $5,778.51	Professional		$2,347.83	$2,606.10	$5,778.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,812.89 / $4,812.89 / $4,812.89	Facility		$4,812.89	$4,812.89	$4,812.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,802.19 / $4,812.89 / $4,812.89	Professional		$3,802.19	$4,812.89	$4,812.89