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 $1,512.32 / $2,506.71 / $2,591.90	Professional		$1,512.32	$2,506.71	$2,591.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,904.00 / $3,690.60 / $4,613.25	Professional		$2,904.00	$3,690.60	$4,613.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,480.86 / $2,314.76 / $7,960.60	Professional		$1,480.86	$2,314.76	$7,960.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,058.56 / $3,748.04 / $7,454.00	Facility		$2,058.56	$3,748.04	$7,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,736.06 / $3,261.85 / $14,308.48	Professional		$1,736.06	$3,261.85	$14,308.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $3,537.81 / $4,980.56	Facility		$2,904.00	$3,537.81	$4,980.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,239.00 / $3,537.81 / $4,980.56	Professional		$2,239.00	$3,537.81	$4,980.56
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 $1,657.15 / $2,525.17 / $4,703.16	Professional		$1,657.15	$2,525.17	$4,703.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,464.41 / $3,119.50 / $3,670.10	Professional		$2,464.41	$3,119.50	$3,670.10