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 / $10,563.53	Facility		$4,146.00	$5,091.00	$10,563.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,339.28 / $2,237.25 / $6,160.00	Professional		$1,339.28	$2,237.25	$6,160.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,659.00 / $3,265.21 / $4,081.51	Professional		$2,659.00	$3,265.21	$4,081.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.33 / $2,035.74 / $7,628.25	Professional		$1,302.33	$2,035.74	$7,628.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,846.97 / $3,538.54 / $12,206.95	Facility		$1,846.97	$3,538.54	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,504.80 / $2,872.80 / $15,789.51	Professional		$1,504.80	$2,872.80	$15,789.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,659.00 / $3,190.59 / $4,385.26	Facility		$2,659.00	$3,190.59	$4,385.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,168.00 / $3,122.24 / $4,385.26	Professional		$2,168.00	$3,122.24	$4,385.26
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 $1,436.40 / $2,188.80 / $4,112.16	Professional		$1,436.40	$2,188.80	$4,112.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,174.94 / $2,753.10 / $3,238.90	Professional		$2,174.94	$2,753.10	$3,238.90