Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,146.40 / $3,778.66 / $3,778.66	Facility		$3,146.40	$3,778.66	$3,778.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.45 / $2,530.96 / $3,689.94	Professional		$1,755.45	$2,530.96	$3,689.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $4,635.42	Facility		$2,741.63	$2,741.63	$4,635.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,741.63 / $5,230.13 / $6,537.66	Professional		$2,741.63	$5,230.13	$6,537.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,214.02 / $5,554.93 / $6,668.18	Professional		$4,214.02	$5,554.93	$6,668.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,687.35 / $5,478.23 / $21,030.00	Facility		$2,687.35	$5,478.23	$21,030.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,083.58 / $2,803.10 / $5,757.58	Professional		$2,083.58	$2,803.10	$5,757.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,621.87 / $4,635.42 / $6,401.73	Facility		$4,621.87	$4,635.42	$6,401.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,796.44 / $5,478.23 / $8,858.20	Professional		$3,796.44	$5,478.23	$8,858.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,083.58 / $2,372.78 / $5,522.82	Professional		$2,083.58	$2,372.78	$5,522.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,129.74 / $4,129.74 / $4,129.74	Facility		$4,129.74	$4,129.74	$4,129.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,262.49 / $4,129.74 / $4,129.74	Professional		$3,262.49	$4,129.74	$4,129.74