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 $1,397.31 / $1,597.56 / $2,482.55	Professional		$1,397.31	$1,597.56	$2,482.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,811.00 / $3,532.44 / $4,415.55	Professional		$2,811.00	$3,532.44	$4,415.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.32 / $2,216.91 / $8,978.85	Professional		$1,418.32	$2,216.91	$8,978.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,940.38 / $3,525.33 / $7,454.00	Facility		$1,940.38	$3,525.33	$7,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,663.98 / $3,116.18 / $13,677.74	Professional		$1,663.98	$3,116.18	$13,677.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,811.00 / $3,387.17 / $4,772.02	Facility		$2,811.00	$3,387.17	$4,772.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,192.00 / $3,387.17 / $4,706.68	Professional		$2,192.00	$3,387.17	$4,706.68
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 $1,588.35 / $2,420.34 / $4,399.72	Professional		$1,588.35	$2,420.34	$4,399.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,359.48 / $2,986.70 / $3,513.80	Professional		$2,359.48	$2,986.70	$3,513.80