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 $1,830.74 / $2,959.12 / $3,318.77	Professional		$1,830.74	$2,959.12	$3,318.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,721.00 / $4,710.59 / $5,858.83	Professional		$3,721.00	$4,710.59	$5,858.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.89 / $3,077.97 / $6,036.20	Professional		$1,943.89	$3,077.97	$6,036.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,936.46 / $4,767.41 / $7,466.72	Facility		$2,936.46	$4,767.41	$7,466.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,231.66 / $4,118.05 / $19,923.77	Professional		$2,231.66	$4,118.05	$19,923.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,721.00 / $4,710.59 / $6,338.07	Facility		$3,721.00	$4,710.59	$6,338.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,001.36 / $4,636.80 / $6,338.07	Professional		$3,001.36	$4,636.80	$6,338.07
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 $2,130.21 / $3,246.05 / $5,867.88	Professional		$2,130.21	$3,246.05	$5,867.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,229.99 / $4,088.60 / $4,810.10	Professional		$3,229.99	$4,088.60	$4,810.10