Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,012.00 / $6,298.62 / $10,255.42	Facility		$5,012.00	$6,298.62	$10,255.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,391.58 / $1,654.47 / $2,476.31	Professional		$1,391.58	$1,654.47	$2,476.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,644.18 / $4,269.47 / $5,336.84	Professional		$2,644.18	$4,269.47	$5,336.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $862.84 / $2,034.84 / $6,753.37	Professional		$862.84	$2,034.84	$6,753.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,957.27 / $3,380.46 / $8,523.00	Facility		$1,957.27	$3,380.46	$8,523.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,568.15 / $2,748.72 / $5,991.62	Professional		$1,568.15	$2,748.72	$5,991.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,407.00 / $3,290.06 / $4,694.16	Facility		$2,407.00	$3,290.06	$4,694.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,095.67 / $3,112.35 / $4,694.16	Professional		$2,095.67	$3,112.35	$4,694.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,420.00 / $11,869.99	Facility		$6,354.00	$8,420.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,498.14 / $2,389.57 / $4,450.57	Professional		$1,498.14	$2,389.57	$4,450.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,563.23 / $3,244.60 / $3,244.60	Professional		$2,563.23	$3,244.60	$3,244.60