Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,172.55 / $4,604.83 / $8,042.03	Facility		$3,172.55	$4,604.83	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,347.41 / $2,225.82 / $8,753.15	Professional		$1,347.41	$2,225.82	$8,753.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,929.91 / $3,299.11 / $4,119.49	Professional		$1,929.91	$3,299.11	$4,119.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,383.18 / $2,195.42 / $3,975.04	Professional		$1,383.18	$2,195.42	$3,975.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.63 / $3,628.99 / $9,401.94	Facility		$1,819.63	$3,628.99	$9,401.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,591.00 / $2,810.85 / $4,942.72	Professional		$1,591.00	$2,810.85	$4,942.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,244.59 / $3,299.11 / $4,456.00	Facility		$2,244.59	$3,299.11	$4,456.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,992.00 / $3,032.51 / $4,456.00	Professional		$1,992.00	$3,032.51	$4,456.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,493.72 / $2,133.89 / $3,971.58	Professional		$1,493.72	$2,133.89	$3,971.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,123.13 / $2,687.50 / $3,161.80	Professional		$2,123.13	$2,687.50	$3,161.80