Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,253.04 / $3,704.48 / $3,704.48	Facility		$3,253.04	$3,704.48	$3,704.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,852.39 / $2,372.98 / $3,737.97	Professional		$1,852.39	$2,372.98	$3,737.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $4,841.16	Facility		$3,060.59	$3,060.59	$4,841.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,136.21 / $5,127.38 / $6,409.22	Professional		$4,136.21	$5,127.38	$6,409.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,538.80 / $4,248.00 / $4,422.75	Professional		$3,538.80	$4,248.00	$4,422.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,806.62 / $5,721.37 / $20,671.75	Facility		$2,806.62	$5,721.37	$20,671.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,030.05 / $2,690.64 / $6,002.14	Professional		$2,030.05	$2,690.64	$6,002.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,826.99 / $4,841.16 / $6,002.14	Facility		$4,826.99	$4,841.16	$6,002.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,964.93 / $5,655.14 / $9,251.37	Professional		$3,964.93	$5,655.14	$9,251.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,097.75 / $2,218.16 / $5,178.32	Professional		$2,097.75	$2,218.16	$5,178.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,313.03 / $4,313.03 / $4,313.03	Facility		$4,313.03	$4,313.03	$4,313.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,407.29 / $4,313.03 / $4,313.03	Professional		$3,407.29	$4,313.03	$4,313.03