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 $1,517.90 / $2,608.57 / $2,613.61	Professional		$1,517.90	$2,608.57	$2,613.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,962.87 / $3,719.00 / $4,587.93	Professional		$2,962.87	$3,719.00	$4,587.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,504.47 / $2,405.48 / $5,672.05	Professional		$1,504.47	$2,405.48	$5,672.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,235.26 / $4,047.64 / $11,869.99	Facility		$2,235.26	$4,047.64	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,731.08 / $3,304.79 / $16,240.27	Professional		$1,731.08	$3,304.79	$16,240.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,050.00 / $4,238.35 / $6,780.09	Facility		$3,050.00	$4,238.35	$6,780.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,643.61 / $3,583.67 / $4,985.80	Professional		$2,643.61	$3,583.67	$4,985.80
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 $1,652.40 / $2,517.94 / $4,793.27	Professional		$1,652.40	$2,517.94	$4,793.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,496.40 / $3,160.00 / $3,717.60	Professional		$2,496.40	$3,160.00	$3,717.60