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 $1,490.76 / $2,591.09 / $2,628.33	Professional		$1,490.76	$2,591.09	$2,628.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,908.25 / $3,722.47 / $4,534.35	Professional		$2,908.25	$3,722.47	$4,534.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.76 / $2,422.13 / $6,946.57	Professional		$1,614.76	$2,422.13	$6,946.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,135.78 / $3,321.03 / $9,346.00	Facility		$2,135.78	$3,321.03	$9,346.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,807.20 / $3,438.46 / $12,150.24	Professional		$1,807.20	$3,438.46	$12,150.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,908.25 / $3,666.65 / $5,220.43	Facility		$2,908.25	$3,666.65	$5,220.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,995.43 / $3,957.44 / $5,220.43	Professional		$2,995.43	$3,957.44	$5,220.43
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,738.94 / $2,628.66 / $5,348.16	Professional		$1,738.94	$2,628.66	$5,348.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,554.15 / $3,233.10 / $3,803.70	Professional		$2,554.15	$3,233.10	$3,803.70