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 $2,448.36 / $4,030.85 / $16,005.30	Professional		$2,448.36	$4,030.85	$16,005.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,928.16 / $5,985.83 / $7,482.28	Professional		$3,928.16	$5,985.83	$7,482.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,477.37 / $3,942.20 / $6,789.45	Professional		$2,477.37	$3,942.20	$6,789.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,820.46 / $4,568.05 / $6,812.14	Facility		$2,820.46	$4,568.05	$6,812.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,970.23 / $4,759.38 / $8,442.28	Professional		$2,970.23	$4,759.38	$8,442.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,560.85 / $2,875.09 / $7,223.96	Facility		$1,560.85	$2,875.09	$7,223.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,697.96 / $5,722.66 / $8,085.22	Professional		$3,697.96	$5,722.66	$8,085.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $5,023.00 / $7,305.00	Facility		$2,679.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,817.48 / $3,874.22 / $7,211.72	Professional		$2,817.48	$3,874.22	$7,211.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,806.46 / $4,818.30 / $5,668.60	Professional		$3,806.46	$4,818.30	$5,668.60