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 $1,249.84 / $2,086.35 / $2,139.78	Professional		$1,249.84	$2,086.35	$2,139.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,548.00 / $3,064.87 / $3,822.46	Professional		$2,548.00	$3,064.87	$3,822.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.63 / $1,993.14 / $4,189.51	Professional		$1,212.63	$1,993.14	$4,189.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,695.02 / $3,295.26 / $12,206.95	Facility		$1,695.02	$3,295.26	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,450.45 / $2,755.47 / $10,981.50	Professional		$1,450.45	$2,755.47	$10,981.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,490.11 / $3,064.87 / $4,127.52	Facility		$2,490.11	$3,064.87	$4,127.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,016.00 / $2,917.01 / $4,127.52	Professional		$2,016.00	$2,917.01	$4,127.52
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 $1,384.52 / $2,109.73 / $3,955.77	Professional		$1,384.52	$2,109.73	$3,955.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,031.96 / $2,572.10 / $3,026.00	Professional		$2,031.96	$2,572.10	$3,026.00