Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,472.19 / $3,021.27 / $3,021.27	Facility		$2,472.19	$3,021.27	$3,021.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.09 / $1,933.64 / $3,021.27	Professional		$1,473.09	$1,933.64	$3,021.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,861.13 / $2,861.13 / $3,656.00	Facility		$2,861.13	$2,861.13	$3,656.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,861.13 / $4,181.63 / $5,227.03	Professional		$2,861.13	$4,181.63	$5,227.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,223.48 / $3,771.41 / $4,621.25	Professional		$3,223.48	$3,771.41	$4,621.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,119.54 / $4,383.96 / $16,835.74	Facility		$2,119.54	$4,383.96	$16,835.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,606.17 / $2,141.56 / $4,689.18	Professional		$1,606.17	$2,141.56	$4,689.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,645.31 / $3,656.00 / $6,986.53	Facility		$3,645.31	$3,656.00	$6,986.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,994.26 / $4,381.75 / $8,641.45	Professional		$2,994.26	$4,381.75	$8,641.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,588.91 / $1,675.13 / $3,163.49	Professional		$1,588.91	$1,675.13	$3,163.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,257.17 / $3,257.17 / $3,257.17	Facility		$3,257.17	$3,257.17	$3,257.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,573.16 / $3,257.17 / $3,257.17	Professional		$2,573.16	$3,257.17	$3,257.17