Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,719.58 / $5,449.00 / $5,449.00	Facility		$4,719.58	$5,449.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,653.28 / $3,438.30 / $5,449.00	Professional		$2,653.28	$3,438.30	$5,449.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $7,002.08	Facility		$3,799.01	$3,799.01	$7,002.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,799.01 / $7,542.00 / $9,427.50	Professional		$3,799.01	$7,542.00	$9,427.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,119.13 / $6,145.05 / $6,505.50	Professional		$5,119.13	$6,145.05	$6,505.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,059.40 / $8,275.19 / $27,521.96	Facility		$4,059.40	$8,275.19	$27,521.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,034.11 / $3,989.59 / $8,697.16	Professional		$3,034.11	$3,989.59	$8,697.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,981.59 / $7,002.08 / $8,696.75	Facility		$6,981.59	$7,002.08	$8,696.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,332.78 / $8,179.39 / $13,380.83	Professional		$5,332.78	$8,179.39	$13,380.83
United Facility/Professional Professional Modifier Low / Median / High Price $3,034.11 / $3,281.55 / $8,342.54	Professional		$3,034.11	$3,281.55	$8,342.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5,728.98 / $5,728.98 / $5,728.98	Facility		$5,728.98	$5,728.98	$5,728.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,525.89 / $5,728.98 / $5,728.98	Professional		$4,525.89	$5,728.98	$5,728.98