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 $1,851.89 / $2,839.03 / $3,197.98	Professional		$1,851.89	$2,839.03	$3,197.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,530.00 / $4,540.59 / $5,675.74	Professional		$3,530.00	$4,540.59	$5,675.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,872.50 / $2,978.60 / $6,167.75	Professional		$1,872.50	$2,978.60	$6,167.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,628.07 / $4,383.75 / $7,454.00	Facility		$2,628.07	$4,383.75	$7,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,141.98 / $3,882.87 / $14,951.28	Professional		$2,141.98	$3,882.87	$14,951.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,530.00 / $4,322.68 / $6,096.78	Facility		$3,530.00	$4,322.68	$6,096.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,896.46 / $4,322.68 / $6,096.78	Professional		$2,896.46	$4,322.68	$6,096.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,523.00 / $11,869.99	Facility		$6,354.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,044.61 / $3,115.60 / $6,338.88	Professional		$2,044.61	$3,115.60	$6,338.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,119.47 / $3,948.70 / $4,645.50	Professional		$3,119.47	$3,948.70	$4,645.50