Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,011.87 / $5,495.41	Facility		$4,677.35	$5,011.87	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $5,495.41	Professional		$2,691.53	$3,311.31	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $7,079.46	Facility		$3,801.89	$3,801.89	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,585.78 / $9,332.54	Professional		$3,801.89	$7,585.78	$9,332.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $6,456.54	Professional		$5,128.61	$6,025.60	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,128.31 / $27,542.29	Facility		$4,365.16	$8,128.31	$27,542.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,265.80 / $10,715.19	Professional		$3,019.95	$4,265.80	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,244.36 / $8,709.64	Professional		$6,918.31	$7,244.36	$8,709.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $10,715.19 / $10,715.19	Professional		$5,128.61	$10,715.19	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,786.30 / $9,332.54	Facility		$2,818.38	$4,786.30	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,311.31 / $5,888.44	Professional		$2,951.21	$3,311.31	$5,888.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $5,754.40	Professional		$4,570.88	$5,754.40	$5,754.40