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 $2,245.80 / $3,881.84 / $4,161.08	Professional		$2,245.80	$3,881.84	$4,161.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,299.47 / $5,553.15 / $6,842.45	Professional		$4,299.47	$5,553.15	$6,842.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,274.42 / $3,636.55 / $6,942.40	Professional		$2,274.42	$3,636.55	$6,942.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,493.57 / $5,691.98 / $8,420.00	Facility		$3,493.57	$5,691.98	$8,420.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,610.00 / $4,994.95 / $23,227.73	Professional		$2,610.00	$4,994.95	$23,227.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,491.83 / $5,691.98 / $7,444.74	Facility		$4,491.83	$5,691.98	$7,444.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,836.95 / $5,240.55 / $7,444.74	Professional		$3,836.95	$5,240.55	$7,444.74
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 $2,497.28 / $3,805.38 / $7,087.51	Professional		$2,497.28	$3,805.38	$7,087.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,775.49 / $4,779.10 / $5,622.50	Professional		$3,775.49	$4,779.10	$5,622.50