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 / $10,563.53	Facility		$4,146.00	$5,091.00	$10,563.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.46 / $2,044.40 / $3,060.28	Professional		$1,245.46	$2,044.40	$3,060.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,449.00 / $3,048.62 / $3,810.77	Professional		$2,449.00	$3,048.62	$3,810.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.59 / $1,901.51 / $6,464.28	Professional		$1,216.59	$1,901.51	$6,464.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,078.81 / $3,297.74 / $11,869.99	Facility		$2,078.81	$3,297.74	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,422.55 / $2,664.05 / $12,480.69	Professional		$1,422.55	$2,664.05	$12,480.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,449.00 / $2,965.28 / $4,089.37	Facility		$2,449.00	$2,965.28	$4,089.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,977.00 / $2,915.55 / $4,089.37	Professional		$1,977.00	$2,915.55	$4,089.37
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 $1,389.34 / $2,069.17 / $4,209.85	Professional		$1,389.34	$2,069.17	$4,209.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,031.01 / $2,570.90 / $3,024.50	Professional		$2,031.01	$2,570.90	$3,024.50