Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,090.00 / $11,611.47	Facility		$5,091.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,463.43 / $2,374.71 / $2,520.73	Professional		$1,463.43	$2,374.71	$2,520.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,882.00 / $3,598.66 / $4,498.33	Professional		$2,882.00	$3,598.66	$4,498.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,455.47 / $2,309.42 / $4,990.60	Professional		$1,455.47	$2,309.42	$4,990.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,956.13 / $3,950.88 / $11,869.99	Facility		$1,956.13	$3,950.88	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,694.95 / $3,180.11 / $23,959.18	Professional		$1,694.95	$3,180.11	$23,959.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,882.00 / $3,897.24 / $8,938.78	Facility		$2,882.00	$3,897.24	$8,938.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,275.00 / $3,511.62 / $4,872.09	Professional		$2,275.00	$3,511.62	$4,872.09
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 $1,607.63 / $2,465.38 / $4,505.82	Professional		$1,607.63	$2,465.38	$4,505.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,446.16 / $3,096.40 / $3,642.90	Professional		$2,446.16	$3,096.40	$3,642.90