Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,056.63 / $5,727.15 / $5,727.15	Facility		$5,056.63	$5,727.15	$5,727.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,707.87 / $3,904.14 / $5,691.94	Professional		$2,707.87	$3,904.14	$5,691.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $7,290.91	Facility		$4,423.18	$4,423.18	$7,290.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,423.18 / $7,926.75 / $9,908.44	Professional		$4,423.18	$7,926.75	$9,908.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,495.72 / $7,212.73 / $8,658.20	Professional		$6,495.72	$7,212.73	$8,658.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,226.84 / $8,616.53 / $33,517.87	Facility		$4,226.84	$8,616.53	$33,517.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,242.96 / $4,323.93 / $9,055.91	Professional		$3,242.96	$4,323.93	$9,055.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,269.57 / $7,290.91 / $9,875.04	Facility		$7,269.57	$7,290.91	$9,875.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,971.30 / $8,616.53 / $13,932.77	Professional		$5,971.30	$8,616.53	$13,932.77
United Facility/Professional Professional Modifier Low / Median / High Price $3,242.96 / $3,660.13 / $7,798.74	Professional		$3,242.96	$3,660.13	$7,798.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6,495.54 / $6,495.54 / $6,495.54	Facility		$6,495.54	$6,495.54	$6,495.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,131.47 / $6,495.54 / $6,495.54	Professional		$5,131.47	$6,495.54	$6,495.54