Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.50 / $2,748.28 / $2,748.28	Facility		$1,949.50	$2,748.28	$2,748.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.60 / $1,609.35 / $2,492.73	Professional		$1,177.60	$1,609.35	$2,492.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $3,513.21	Facility		$2,283.76	$2,283.76	$3,513.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,283.76 / $3,804.00 / $4,755.00	Professional		$2,283.76	$3,804.00	$4,755.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,632.61 / $3,103.96 / $3,281.15	Professional		$2,632.61	$3,103.96	$3,281.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,036.75 / $4,151.97 / $14,087.74	Facility		$2,036.75	$4,151.97	$14,087.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,508.77 / $1,913.02 / $4,363.68	Professional		$1,508.77	$1,913.02	$4,363.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,502.93 / $3,513.21 / $4,210.60	Facility		$3,502.93	$3,513.21	$4,210.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,830.01 / $4,070.66 / $6,713.64	Professional		$2,830.01	$4,070.66	$6,713.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,526.85 / $1,593.36 / $3,118.88	Professional		$1,526.85	$1,593.36	$3,118.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,129.95 / $3,129.95 / $3,129.95	Facility		$3,129.95	$3,129.95	$3,129.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,472.66 / $3,129.95 / $3,129.95	Professional		$2,472.66	$3,129.95	$3,129.95