Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.94 / $4,348.41 / $7,346.05	Facility		$3,696.94	$4,348.41	$7,346.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $6,049.88	Professional		$2,016.42	$2,016.42	$6,049.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.55 / $1,961.55 / $2,451.94	Professional		$1,961.55	$1,961.55	$2,451.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,474.95 / $2,016.42 / $3,649.72	Professional		$1,474.95	$2,016.42	$3,649.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,976.55 / $2,310.28 / $2,964.86	Facility		$1,976.55	$2,310.28	$2,964.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,976.55 / $1,976.55 / $2,638.24	Professional		$1,976.55	$1,976.55	$2,638.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,310.28 / $2,897.72 / $4,539.75	Facility		$2,310.28	$2,897.72	$4,539.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,009.76 / $2,371.86 / $4,264.76	Professional		$2,009.76	$2,371.86	$4,264.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,076.91	Professional		$2,016.42	$2,016.42	$2,076.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,976.55 / $1,976.55 / $1,976.55	Facility		$1,976.55	$1,976.55	$1,976.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,976.55 / $1,976.55 / $1,976.55	Professional		$1,976.55	$1,976.55	$1,976.55