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 $1,797.24 / $2,810.54 / $3,095.41	Professional		$1,797.24	$2,810.54	$3,095.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,783.61 / $4,403.37 / $5,430.33	Professional		$3,783.61	$4,403.37	$5,430.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,785.30 / $2,879.07 / $6,943.79	Professional		$1,785.30	$2,879.07	$6,943.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,963.46 / $4,759.35 / $7,454.00	Facility		$2,963.46	$4,759.35	$7,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,120.92 / $3,916.06 / $19,633.29	Professional		$2,120.92	$3,916.06	$19,633.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,595.22 / $4,513.45 / $5,903.30	Facility		$3,595.22	$4,513.45	$5,903.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,897.29 / $4,247.42 / $5,903.30	Professional		$2,897.29	$4,247.42	$5,903.30
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 $1,958.03 / $2,983.66 / $5,861.76	Professional		$1,958.03	$2,983.66	$5,861.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,958.79 / $3,745.30 / $4,406.20	Professional		$2,958.79	$3,745.30	$4,406.20