Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,004.85 / $3,693.27 / $3,693.27	Facility		$3,004.85	$3,693.27	$3,693.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.49 / $2,480.56 / $3,616.47	Professional		$1,720.49	$2,480.56	$3,616.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $4,543.12	Facility		$3,148.57	$3,148.57	$4,543.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,148.57 / $5,111.63 / $6,389.53	Professional		$3,148.57	$5,111.63	$6,389.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,130.10 / $4,981.84 / $5,980.24	Professional		$4,130.10	$4,981.84	$5,980.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,633.84 / $5,369.14 / $20,548.93	Facility		$2,633.84	$5,369.14	$20,548.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,042.09 / $2,747.29 / $5,642.93	Professional		$2,042.09	$2,747.29	$5,642.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,529.82 / $4,543.12 / $6,274.27	Facility		$4,529.82	$4,543.12	$6,274.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,720.84 / $5,369.14 / $8,681.82	Professional		$3,720.84	$5,369.14	$8,681.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,042.09 / $2,325.53 / $5,412.84	Professional		$2,042.09	$2,325.53	$5,412.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,047.51 / $4,047.51 / $4,047.51	Facility		$4,047.51	$4,047.51	$4,047.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,197.53 / $4,047.51 / $4,047.51	Professional		$3,197.53	$4,047.51	$4,047.51