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 $2,180.92 / $4,025.58 / $4,339.53	Professional		$2,180.92	$4,025.58	$4,339.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,815.12 / $6,128.40 / $7,660.50	Professional		$4,815.12	$6,128.40	$7,660.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,563.42 / $4,072.15 / $8,090.43	Professional		$2,563.42	$4,072.15	$8,090.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,680.41 / $5,640.50 / $10,463.00	Facility		$3,680.41	$5,640.50	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,870.20 / $5,366.53 / $20,805.56	Professional		$2,870.20	$5,366.53	$20,805.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,434.00 / $5,640.50 / $8,256.69	Facility		$4,434.00	$5,640.50	$8,256.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,136.72 / $5,388.01 / $8,256.69	Professional		$4,136.72	$5,388.01	$8,256.69
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 $2,766.95 / $4,216.30 / $7,605.25	Professional		$2,766.95	$4,216.30	$7,605.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,258.18 / $5,390.10 / $6,341.20	Professional		$4,258.18	$5,390.10	$6,341.20