Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,119.01 / $4,147.55 / $4,274.00	Professional		$2,119.01	$4,147.55	$4,274.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,529.00 / $6,036.47 / $7,545.58	Professional		$4,529.00	$6,036.47	$7,545.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,527.69 / $4,042.29 / $7,221.76	Professional		$2,527.69	$4,042.29	$7,221.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,877.37 / $5,875.20 / $10,463.00	Facility		$3,877.37	$5,875.20	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,737.60 / $5,476.88 / $20,642.09	Professional		$2,737.60	$5,476.88	$20,642.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,529.00 / $5,733.85 / $8,153.14	Facility		$4,529.00	$5,733.85	$8,153.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,183.93 / $5,489.42 / $8,153.14	Professional		$4,183.93	$5,489.42	$8,153.14
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,727.04 / $4,158.97 / $7,746.09	Professional		$2,727.04	$4,158.97	$7,746.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,196.32 / $5,311.80 / $6,249.10	Professional		$4,196.32	$5,311.80	$6,249.10