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 $2,373.23 / $3,995.77 / $4,111.59	Professional		$2,373.23	$3,995.77	$4,111.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,041.00 / $5,834.85 / $7,250.50	Professional		$5,041.00	$5,834.85	$7,250.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,431.42 / $3,862.15 / $9,515.04	Professional		$2,431.42	$3,862.15	$9,515.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,024.82 / $6,164.59 / $8,860.49	Facility		$4,024.82	$6,164.59	$8,860.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,750.79 / $5,251.51 / $19,269.12	Professional		$2,750.79	$5,251.51	$19,269.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,767.03 / $5,980.72 / $7,822.40	Facility		$4,767.03	$5,980.72	$7,822.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,990.06 / $5,792.54 / $7,822.40	Professional		$3,990.06	$5,792.54	$7,822.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $2,750.79 / $4,001.15 / $8,140.59	Professional		$2,750.79	$4,001.15	$8,140.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,035.08 / $5,107.70 / $6,009.00	Professional		$4,035.08	$5,107.70	$6,009.00