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 $2,489.15 / $4,051.40 / $4,461.18	Professional		$2,489.15	$4,051.40	$4,461.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,035.17 / $6,353.78 / $7,795.87	Professional		$5,035.17	$6,353.78	$7,795.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,580.58 / $4,149.72 / $8,157.14	Professional		$2,580.58	$4,149.72	$8,157.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,381.60 / $6,758.71 / $8,627.60	Facility		$4,381.60	$6,758.71	$8,627.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,964.39 / $5,589.48 / $32,079.30	Professional		$2,964.39	$5,589.48	$32,079.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,174.85 / $6,512.62 / $8,518.07	Facility		$5,174.85	$6,512.62	$8,518.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,186.06 / $6,118.58 / $8,518.07	Professional		$4,186.06	$6,118.58	$8,518.07
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 $2,829.65 / $4,311.84 / $8,297.15	Professional		$2,829.65	$4,311.84	$8,297.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,262.21 / $5,395.20 / $6,347.30	Professional		$4,262.21	$5,395.20	$6,347.30