Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $3,019.95	Facility		$2,454.71	$2,570.40	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $3,019.95	Professional		$1,513.56	$1,862.09	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,715.35	Facility		$2,884.03	$2,884.03	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,168.69 / $5,248.07	Professional		$2,884.03	$4,168.69	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $4,570.88	Professional		$3,162.28	$3,890.45	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $16,982.44	Facility		$2,290.87	$4,265.80	$16,982.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $6,918.31	Professional		$1,621.81	$2,398.83	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $8,709.64	Professional		$3,630.78	$3,801.89	$8,709.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,623.41 / $5,623.41	Professional		$3,715.35	$5,623.41	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,238.72 / $5,248.07	Facility		$851.14	$2,238.72	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $3,019.95	Professional		$1,621.81	$1,778.28	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $3,235.94	Professional		$2,570.40	$3,235.94	$3,235.94