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 $2,056.16 / $3,316.60 / $3,609.97	Professional		$2,056.16	$3,316.60	$3,609.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,173.00 / $5,158.10 / $6,367.19	Professional		$4,173.00	$5,158.10	$6,367.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,114.67 / $3,367.45 / $7,452.48	Professional		$2,114.67	$3,367.45	$7,452.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,211.08 / $5,273.25 / $8,103.77	Facility		$3,211.08	$5,273.25	$8,103.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,430.29 / $4,549.17 / $21,431.33	Professional		$2,430.29	$4,549.17	$21,431.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,173.00 / $5,273.25 / $6,915.10	Facility		$4,173.00	$5,273.25	$6,915.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,502.25 / $5,041.43 / $6,915.10	Professional		$3,502.25	$5,041.43	$6,915.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,523.00 / $11,869.99	Facility		$6,354.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,319.82 / $3,972.10 / $7,192.10	Professional		$2,319.82	$3,972.10	$7,192.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,511.87 / $4,445.39 / $5,229.89	Professional		$3,511.87	$4,445.39	$5,229.89