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 $1,542.95 / $2,387.26 / $2,667.26	Professional		$1,542.95	$2,387.26	$2,667.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,969.40 / $3,791.56 / $4,715.50	Professional		$2,969.40	$3,791.56	$4,715.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.80 / $2,405.48 / $9,548.40	Professional		$1,558.80	$2,405.48	$9,548.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,374.83 / $3,838.52 / $7,454.00	Facility		$2,374.83	$3,838.52	$7,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,784.27 / $3,324.03 / $17,970.61	Professional		$1,784.27	$3,324.03	$17,970.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,065.00 / $3,831.70 / $5,083.07	Facility		$3,065.00	$3,831.70	$5,083.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,375.39 / $3,638.48 / $5,083.07	Professional		$2,375.39	$3,638.48	$5,083.07
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 $1,707.04 / $2,601.19 / $4,844.74	Professional		$1,707.04	$2,601.19	$4,844.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,594.19 / $3,283.80 / $3,863.30	Professional		$2,594.19	$3,283.80	$3,863.30