Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,254.69 / $3,746.41 / $10,218.00	Professional		$2,254.69	$3,746.41	$10,218.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,750.00 / $5,555.61 / $6,774.27	Professional		$4,750.00	$5,555.61	$6,774.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,247.17 / $3,605.65 / $8,992.45	Professional		$2,247.17	$3,605.65	$8,992.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,484.92 / $5,563.62 / $8,060.00	Facility		$2,484.92	$5,563.62	$8,060.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,624.83 / $4,993.42 / $19,665.09	Professional		$2,624.83	$4,993.42	$19,665.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,476.97 / $5,694.50 / $7,448.02	Facility		$4,476.97	$5,694.50	$7,448.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,818.44 / $5,335.47 / $7,448.02	Professional		$3,818.44	$5,335.47	$7,448.02
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,471.98 / $3,766.83 / $7,134.78	Professional		$2,471.98	$3,766.83	$7,134.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,716.71 / $4,704.70 / $5,534.90	Professional		$3,716.71	$4,704.70	$5,534.90