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 $2,008.88 / $3,149.87 / $13,125.80	Professional		$2,008.88	$3,149.87	$13,125.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,843.00 / $4,892.75 / $6,115.94	Professional		$3,843.00	$4,892.75	$6,115.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.15 / $3,174.18 / $11,930.64	Professional		$2,025.15	$3,174.18	$11,930.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,088.39 / $5,344.55 / $12,206.95	Facility		$3,088.39	$5,344.55	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,329.04 / $4,361.66 / $19,652.56	Professional		$2,329.04	$4,361.66	$19,652.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,843.00 / $4,852.51 / $6,613.36	Facility		$3,843.00	$4,852.51	$6,613.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,268.50 / $4,834.76 / $6,613.36	Professional		$3,268.50	$4,834.76	$6,613.36
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 $2,215.17 / $3,428.07 / $6,309.58	Professional		$2,215.17	$3,428.07	$6,309.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,367.85 / $4,263.10 / $5,015.50	Professional		$3,367.85	$4,263.10	$5,015.50