Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.60 / $2,224.35 / $2,224.35	Facility		$1,927.60	$2,224.35	$2,224.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.47 / $1,425.38 / $2,281.19	Professional		$1,130.47	$1,425.38	$2,281.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $2,868.65	Facility		$1,482.94	$1,482.94	$2,868.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.94 / $3,078.75 / $3,848.44	Professional		$1,482.94	$3,078.75	$3,848.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,522.85 / $2,951.64 / $3,616.75	Professional		$2,522.85	$2,951.64	$3,616.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,663.07 / $3,350.97 / $11,409.47	Facility		$1,663.07	$3,350.97	$11,409.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,246.72 / $1,653.92 / $3,563.08	Professional		$1,246.72	$1,653.92	$3,563.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,860.25 / $2,868.65 / $3,605.32	Facility		$2,860.25	$2,868.65	$3,605.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,349.42 / $3,350.97 / $5,481.92	Professional		$2,349.42	$3,350.97	$5,481.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.90 / $1,408.34 / $3,417.80	Professional		$1,202.90	$1,408.34	$3,417.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,555.69 / $2,555.69 / $2,555.69	Facility		$2,555.69	$2,555.69	$2,555.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,019.00 / $2,555.69 / $2,555.69	Professional		$2,019.00	$2,555.69	$2,555.69