Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,222.19 / $2,715.77 / $2,715.77	Facility		$2,222.19	$2,715.77	$2,715.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.12 / $1,738.10 / $2,715.77	Professional		$1,324.12	$1,738.10	$2,715.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $3,286.25	Facility		$1,808.29	$1,808.29	$3,286.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,032.23 / $3,759.00 / $4,698.75	Professional		$3,032.23	$3,759.00	$4,698.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,501.10 / $2,987.50 / $3,242.33	Professional		$2,501.10	$2,987.50	$3,242.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.18 / $3,940.59 / $15,133.20	Facility		$1,905.18	$3,940.59	$15,133.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,443.74 / $1,924.99 / $4,215.03	Professional		$1,443.74	$1,924.99	$4,215.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,276.64 / $3,286.25 / $6,279.94	Facility		$3,276.64	$3,286.25	$6,279.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.46 / $3,938.60 / $7,767.50	Professional		$2,691.46	$3,938.60	$7,767.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.74 / $1,696.74 / $3,915.36	Professional		$1,443.74	$1,696.74	$3,915.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,927.75 / $2,927.75 / $2,927.75	Facility		$2,927.75	$2,927.75	$2,927.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,312.92 / $2,927.75 / $2,927.75	Professional		$2,312.92	$2,927.75	$2,927.75