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 $2,099.44 / $3,576.09 / $4,420.57	Professional		$2,099.44	$3,576.09	$4,420.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,630.00 / $6,235.92 / $7,794.90	Professional		$4,630.00	$6,235.92	$7,794.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,616.55 / $4,157.09 / $6,879.85	Professional		$2,616.55	$4,157.09	$6,879.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,734.44 / $5,996.52 / $14,242.22	Facility		$3,734.44	$5,996.52	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,828.87 / $5,221.22 / $20,722.64	Professional		$2,828.87	$5,221.22	$20,722.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,630.00 / $5,996.52 / $8,250.46	Facility		$4,630.00	$5,996.52	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,746.19 / $5,463.58 / $8,455.82	Professional		$3,746.19	$5,463.58	$8,455.82
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 $2,826.81 / $4,310.66 / $8,028.60	Professional		$2,826.81	$4,310.66	$8,028.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,340.81 / $5,494.70 / $6,464.30	Professional		$4,340.81	$5,494.70	$6,464.30