Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,156.69 / $3,296.24 / $3,296.24	Facility		$2,156.69	$3,296.24	$3,296.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,285.26 / $1,882.23 / $2,701.61	Professional		$1,285.26	$1,882.23	$2,701.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $3,246.66	Facility		$2,253.75	$2,253.75	$3,246.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,253.75 / $4,562.25 / $5,702.81	Professional		$2,253.75	$4,562.25	$5,702.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,862.59 / $3,935.35 / $7,852.35	Professional		$2,862.59	$3,935.35	$7,852.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,882.23 / $3,893.13 / $15,333.41	Facility		$1,882.23	$3,893.13	$15,333.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,459.34 / $1,963.30 / $4,203.60	Professional		$1,459.34	$1,963.30	$4,203.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,237.18 / $3,246.66 / $6,204.31	Facility		$3,237.18	$3,246.66	$6,204.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,659.03 / $3,880.44 / $7,673.93	Professional		$2,659.03	$3,880.44	$7,673.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,459.34 / $1,521.56 / $3,868.20	Professional		$1,459.34	$1,521.56	$3,868.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,892.48 / $2,892.48 / $2,892.48	Facility		$2,892.48	$2,892.48	$2,892.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,285.06 / $2,892.48 / $2,892.48	Professional		$2,285.06	$2,892.48	$2,892.48