Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.44 / $3,148.63 / $3,813.55	Professional		$2,015.44	$3,148.63	$3,813.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,212.54 / $5,416.30 / $6,770.38	Professional		$4,212.54	$5,416.30	$6,770.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,215.67 / $3,521.04 / $6,488.18	Professional		$2,215.67	$3,521.04	$6,488.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,875.68 / $5,437.60 / $12,206.95	Facility		$2,875.68	$5,437.60	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,509.37 / $4,507.79 / $18,636.00	Professional		$2,509.37	$4,507.79	$18,636.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,148.00 / $5,143.80 / $7,364.87	Facility		$4,148.00	$5,143.80	$7,364.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,241.36 / $4,995.66 / $7,364.87	Professional		$3,241.36	$4,995.66	$7,364.87
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 $2,455.19 / $3,741.25 / $7,014.84	Professional		$2,455.19	$3,741.25	$7,014.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,704.55 / $4,689.30 / $5,516.80	Professional		$3,704.55	$4,689.30	$5,516.80