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 $1,294.83 / $1,469.19 / $2,281.44	Professional		$1,294.83	$1,469.19	$2,281.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.00 / $3,248.07 / $4,060.08	Professional		$2,578.00	$3,248.07	$4,060.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.99 / $2,036.93 / $4,966.77	Professional		$1,302.99	$2,036.93	$4,966.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,899.86 / $3,523.06 / $11,869.99	Facility		$1,899.86	$3,523.06	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,524.39 / $2,859.88 / $17,154.97	Professional		$1,524.39	$2,859.88	$17,154.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,653.82 / $3,724.67 / $5,383.60	Facility		$2,653.82	$3,724.67	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,189.00 / $3,113.51 / $4,384.09	Professional		$2,189.00	$3,113.51	$4,384.09
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 $1,457.70 / $2,221.26 / $4,137.10	Professional		$1,457.70	$2,221.26	$4,137.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,168.87 / $2,745.40 / $3,229.90	Professional		$2,168.87	$2,745.40	$3,229.90