Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.75 / $3,142.11 / $3,188.32	Professional		$1,652.75	$3,142.11	$3,188.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,449.28 / $4,428.39 / $5,535.51	Professional		$3,449.28	$4,428.39	$5,535.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,951.18 / $2,830.80 / $5,890.26	Professional		$1,951.18	$2,830.80	$5,890.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,379.32 / $4,461.04 / $12,206.95	Facility		$2,379.32	$4,461.04	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,066.02 / $3,884.17 / $15,018.16	Professional		$2,066.02	$3,884.17	$15,018.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,174.00 / $4,348.88 / $5,829.25	Facility		$3,174.00	$4,348.88	$5,829.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,935.44 / $4,348.88 / $5,785.54	Professional		$2,935.44	$4,348.88	$5,785.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,868.00 / $11,869.99	Facility		$6,354.00	$8,868.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,979.80 / $3,016.83 / $5,423.85	Professional		$1,979.80	$3,016.83	$5,423.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,262.46 / $4,129.70 / $4,858.39	Professional		$3,262.46	$4,129.70	$4,858.39