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 $1,542.21 / $2,607.15 / $2,722.73	Professional		$1,542.21	$2,607.15	$2,722.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,111.00 / $3,872.78 / $4,819.71	Professional		$3,111.00	$3,872.78	$4,819.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.70 / $2,537.54 / $5,283.23	Professional		$1,594.70	$2,537.54	$5,283.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,400.71 / $3,872.78 / $7,454.00	Facility		$2,400.71	$3,872.78	$7,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,826.98 / $3,453.45 / $12,714.80	Professional		$1,826.98	$3,453.45	$12,714.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,111.00 / $3,872.78 / $5,197.97	Facility		$3,111.00	$3,872.78	$5,197.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,641.52 / $3,808.55 / $5,197.97	Professional		$2,641.52	$3,808.55	$5,197.97
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 $1,743.93 / $2,657.42 / $4,949.45	Professional		$1,743.93	$2,657.42	$4,949.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,653.06 / $3,358.30 / $3,950.90	Professional		$2,653.06	$3,358.30	$3,950.90