Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,150.06 / $3,544.53 / $3,544.53	Professional		$2,150.06	$3,544.53	$3,544.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,500.44 / $5,241.78 / $6,552.23	Professional		$3,500.44	$5,241.78	$6,552.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.21 / $1,971.95 / $6,744.11	Professional		$1,166.21	$1,971.95	$6,744.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,733.87 / $4,660.43 / $9,495.24	Facility		$2,733.87	$4,660.43	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,588.19 / $4,010.73 / $7,326.38	Professional		$2,588.19	$4,010.73	$7,326.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,936.00 / $3,908.14 / $5,782.63	Facility		$2,936.00	$3,908.14	$5,782.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,044.49 / $4,599.78 / $6,387.71	Professional		$3,044.49	$4,599.78	$6,387.71
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 $2,475.66 / $3,375.90 / $6,530.14	Professional		$2,475.66	$3,375.90	$6,530.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,254.27 / $2,853.50 / $3,357.10	Professional		$2,254.27	$2,853.50	$3,357.10