Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,753.63 / $3,135.75 / $3,135.75	Facility		$2,753.63	$3,135.75	$3,135.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,568.00 / $2,008.64 / $3,164.09	Professional		$1,568.00	$2,008.64	$3,164.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $4,097.85	Facility		$2,264.80	$2,264.80	$4,097.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,264.80 / $4,340.25 / $5,425.31	Professional		$2,264.80	$4,340.25	$5,425.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,556.55 / $3,852.00 / $4,720.00	Professional		$3,556.55	$3,852.00	$4,720.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,375.69 / $4,842.92 / $17,433.41	Facility		$2,375.69	$4,842.92	$17,433.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,780.94 / $2,330.71 / $5,089.85	Professional		$1,780.94	$2,330.71	$5,089.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,085.87 / $4,097.85 / $5,080.62	Facility		$4,085.87	$4,097.85	$5,080.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,356.16 / $4,786.85 / $7,830.89	Professional		$3,356.16	$4,786.85	$7,830.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,780.94 / $1,984.64 / $4,866.85	Professional		$1,780.94	$1,984.64	$4,866.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,650.81 / $3,650.81 / $3,650.81	Facility		$3,650.81	$3,650.81	$3,650.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,884.14 / $3,650.81 / $3,650.81	Professional		$2,884.14	$3,650.81	$3,650.81