Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,111.09 / $3,802.05 / $3,802.05	Facility		$3,111.09	$3,802.05	$3,802.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,853.77 / $2,433.34 / $3,802.05	Professional		$1,853.77	$2,433.34	$3,802.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $4,600.81	Facility		$3,600.52	$3,600.52	$4,600.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,600.52 / $5,262.38 / $6,577.97	Professional		$3,600.52	$5,262.38	$6,577.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,056.52 / $4,676.68 / $5,730.51	Professional		$4,056.52	$4,676.68	$5,730.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,667.28 / $5,516.89 / $21,186.55	Facility		$2,667.28	$5,516.89	$21,186.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,021.25 / $2,695.00 / $5,901.00	Professional		$2,021.25	$2,695.00	$5,901.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,587.34 / $4,600.81 / $8,792.01	Facility		$4,587.34	$4,600.81	$8,792.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,768.07 / $5,514.10 / $10,874.63	Professional		$3,768.07	$5,514.10	$10,874.63
United Facility/Professional Professional Modifier Low / Median / High Price $2,021.25 / $2,375.44 / $5,481.55	Professional		$2,021.25	$2,375.44	$5,481.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,098.89 / $4,098.89 / $4,098.89	Facility		$4,098.89	$4,098.89	$4,098.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,238.13 / $4,098.89 / $4,098.89	Professional		$3,238.13	$4,098.89	$4,098.89