Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,618.19 / $2,661.86 / $10,587.30	Professional		$1,618.19	$2,661.86	$10,587.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,589.80 / $3,974.97 / $4,968.71	Professional		$2,589.80	$3,974.97	$4,968.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,633.99 / $2,505.07 / $4,209.22	Professional		$1,633.99	$2,505.07	$4,209.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,080.69 / $4,058.10 / $9,495.24	Facility		$2,080.69	$4,058.10	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,950.17 / $3,033.06 / $5,520.34	Professional		$1,950.17	$3,033.06	$5,520.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,430.69 / $3,552.86 / $4,770.34	Facility		$2,430.69	$3,552.86	$4,770.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,383.69 / $3,552.86 / $5,233.92	Professional		$2,383.69	$3,552.86	$5,233.92
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 $1,780.59 / $2,543.69 / $4,525.89	Professional		$1,780.59	$2,543.69	$4,525.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,517.96 / $3,187.30 / $3,749.80	Professional		$2,517.96	$3,187.30	$3,749.80