Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.30 / $2,077.14 / $2,222.56	Professional		$1,291.30	$2,077.14	$2,222.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,773.49 / $3,130.42 / $3,913.03	Professional		$2,773.49	$3,130.42	$3,913.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,315.78 / $2,018.27 / $6,158.48	Professional		$1,315.78	$2,018.27	$6,158.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,894.22 / $3,356.16 / $7,454.00	Facility		$1,894.22	$3,356.16	$7,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,517.43 / $2,786.00 / $11,584.70	Professional		$1,517.43	$2,786.00	$11,584.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,578.50 / $3,173.33 / $4,150.49	Facility		$2,578.50	$3,173.33	$4,150.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,123.80 / $3,051.65 / $4,150.49	Professional		$2,123.80	$3,051.65	$4,150.49
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 $1,385.48 / $2,111.19 / $4,008.89	Professional		$1,385.48	$2,111.19	$4,008.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,125.81 / $2,690.90 / $3,165.70	Professional		$2,125.81	$2,690.90	$3,165.70