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 $3,530.78 / $5,984.93 / $6,120.94	Professional		$3,530.78	$5,984.93	$6,120.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,999.75 / $8,752.96 / $10,756.45	Professional		$6,999.75	$8,752.96	$10,756.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,625.65 / $5,803.68 / $12,168.31	Professional		$3,625.65	$5,803.68	$12,168.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,866.15 / $9,426.25 / $12,314.00	Facility		$5,866.15	$9,426.25	$12,314.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,115.00 / $8,096.00 / $30,520.66	Professional		$4,115.00	$8,096.00	$30,520.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,088.93 / $8,971.79 / $11,734.49	Facility		$7,088.93	$8,971.79	$11,734.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,098.05 / $8,619.29 / $11,734.49	Professional		$6,098.05	$8,619.29	$11,734.49
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 $3,927.96 / $5,985.46 / $11,689.71	Professional		$3,927.96	$5,985.46	$11,689.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,004.16 / $7,600.20 / $8,941.50	Professional		$6,004.16	$7,600.20	$8,941.50