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 $1,686.07 / $2,602.13 / $3,160.47	Professional		$1,686.07	$2,602.13	$3,160.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,489.07 / $4,503.20 / $5,629.00	Professional		$3,489.07	$4,503.20	$5,629.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.44 / $2,908.23 / $5,374.60	Professional		$1,831.44	$2,908.23	$5,374.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,329.80 / $4,232.05 / $7,487.00	Facility		$2,329.80	$4,232.05	$7,487.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,077.57 / $3,756.05 / $29,283.99	Professional		$2,077.57	$3,756.05	$29,283.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,498.00 / $4,232.05 / $6,108.72	Facility		$3,498.00	$4,232.05	$6,108.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,674.30 / $4,232.05 / $6,108.72	Professional		$2,674.30	$4,232.05	$6,108.72
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 $1,975.58 / $3,093.73 / $5,762.07	Professional		$1,975.58	$3,093.73	$5,762.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,070.26 / $3,886.40 / $4,572.30	Professional		$3,070.26	$3,886.40	$4,572.30