Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $3,162.28	Facility		$2,754.23	$2,884.03	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,162.28	Professional		$1,584.89	$1,905.46	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $4,168.69	Facility		$2,290.87	$2,290.87	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $5,370.32	Professional		$2,290.87	$4,365.16	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,890.45 / $4,677.35	Professional		$3,548.13	$3,890.45	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $17,378.01	Facility		$2,570.40	$4,786.30	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $6,165.95	Professional		$1,778.28	$2,511.89	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $5,128.61	Professional		$4,073.80	$4,265.80	$5,128.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,165.95 / $6,165.95	Professional		$3,801.89	$6,165.95	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $5,495.41	Facility		$1,659.59	$2,754.23	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $3,388.44	Professional		$1,737.80	$1,905.46	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $3,630.78	Professional		$2,884.03	$3,630.78	$3,630.78