Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,777.76 / $3,394.67 / $3,394.67	Facility		$2,777.76	$3,394.67	$3,394.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,655.15 / $2,172.62 / $3,394.67	Professional		$1,655.15	$2,172.62	$3,394.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $4,107.85	Facility		$3,214.74	$3,214.74	$4,107.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,214.74 / $4,698.38 / $5,872.97	Professional		$3,214.74	$4,698.38	$5,872.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,621.88 / $4,206.00 / $5,153.77	Professional		$3,621.88	$4,206.00	$5,153.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,381.48 / $4,925.78 / $18,916.50	Facility		$2,381.48	$4,925.78	$18,916.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,804.68 / $2,406.23 / $5,268.73	Professional		$1,804.68	$2,406.23	$5,268.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,095.83 / $4,107.85 / $7,849.98	Facility		$4,095.83	$4,107.85	$7,849.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,364.33 / $4,923.29 / $9,709.46	Professional		$3,364.33	$4,923.29	$9,709.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,804.68 / $2,146.66 / $4,894.22	Professional		$1,804.68	$2,146.66	$4,894.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,659.72 / $3,659.72 / $3,659.72	Facility		$3,659.72	$3,659.72	$3,659.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,891.18 / $3,659.72 / $3,659.72	Professional		$2,891.18	$3,659.72	$3,659.72