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 $2,536.67 / $4,677.37 / $5,075.89	Professional		$2,536.67	$4,677.37	$5,075.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,625.89 / $7,239.06 / $8,940.17	Professional		$5,625.89	$7,239.06	$8,940.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,004.13 / $4,806.68 / $9,452.50	Professional		$3,004.13	$4,806.68	$9,452.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,791.29 / $7,758.02 / $12,314.00	Facility		$4,791.29	$7,758.02	$12,314.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,312.40 / $6,374.44 / $27,142.49	Professional		$3,312.40	$6,374.44	$27,142.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,713.00 / $7,420.04 / $9,704.93	Facility		$5,713.00	$7,420.04	$9,704.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,726.76 / $6,916.68 / $9,704.93	Professional		$4,726.76	$6,916.68	$9,704.93
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $13,657.65 / $16,616.96	Facility		$9,542.00	$13,657.65	$16,616.96
United Facility/Professional Professional Modifier Low / Median / High Price $3,247.15 / $4,951.02 / $9,221.28	Professional		$3,247.15	$4,951.02	$9,221.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,981.10 / $6,305.20 / $7,417.90	Professional		$4,981.10	$6,305.20	$7,417.90