Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,050.96 / $2,506.83 / $2,506.83	Facility		$2,050.96	$2,506.83	$2,506.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.17 / $1,604.23 / $2,506.83	Professional		$1,222.17	$1,604.23	$2,506.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $3,033.16	Facility		$2,373.71	$2,373.71	$3,033.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,373.71 / $3,469.50 / $4,336.88	Professional		$2,373.71	$3,469.50	$4,336.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,674.33 / $3,166.55 / $3,880.09	Professional		$2,674.33	$3,166.55	$3,880.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,758.45 / $3,637.10 / $13,967.65	Facility		$1,758.45	$3,637.10	$13,967.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,332.55 / $1,776.73 / $3,890.76	Professional		$1,332.55	$1,776.73	$3,890.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,024.28 / $3,033.16 / $5,796.31	Facility		$3,024.28	$3,033.16	$5,796.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,484.17 / $3,635.27 / $7,169.29	Professional		$2,484.17	$3,635.27	$7,169.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,332.55 / $1,421.50 / $3,613.82	Professional		$1,332.55	$1,421.50	$3,613.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,702.27 / $2,702.27 / $2,702.27	Facility		$2,702.27	$2,702.27	$2,702.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,134.79 / $2,702.27 / $2,702.27	Professional		$2,134.79	$2,702.27	$2,702.27