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 $1,670.15 / $2,876.56 / $3,026.38	Professional		$1,670.15	$2,876.56	$3,026.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,605.00 / $4,093.57 / $5,042.72	Professional		$3,605.00	$4,093.57	$5,042.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.58 / $2,673.61 / $6,393.40	Professional		$1,657.58	$2,673.61	$6,393.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,643.81 / $4,424.68 / $7,454.00	Facility		$2,643.81	$4,424.68	$7,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,992.36 / $3,757.29 / $18,236.43	Professional		$1,992.36	$3,757.29	$18,236.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,340.08 / $4,195.91 / $5,487.98	Facility		$3,340.08	$4,195.91	$5,487.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,070.63 / $4,009.09 / $5,487.98	Professional		$3,070.63	$4,009.09	$5,487.98
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 $1,819.78 / $3,070.19 / $5,641.83	Professional		$1,819.78	$3,070.19	$5,641.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,747.30 / $3,477.60 / $4,091.30	Professional		$2,747.30	$3,477.60	$4,091.30