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 $1,354.63 / $2,261.62 / $2,655.50	Professional		$1,354.63	$2,261.62	$2,655.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,802.26 / $3,739.68 / $4,674.60	Professional		$2,802.26	$3,739.68	$4,674.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,637.62 / $2,424.48 / $3,793.47	Professional		$1,637.62	$2,424.48	$3,793.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,980.90 / $3,486.76 / $8,689.00	Facility		$1,980.90	$3,486.76	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,723.17 / $3,105.35 / $14,422.40	Professional		$1,723.17	$3,105.35	$14,422.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,690.00 / $3,486.76 / $4,875.68	Facility		$2,690.00	$3,486.76	$4,875.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,273.56 / $3,486.76 / $4,777.55	Professional		$2,273.56	$3,486.76	$4,777.55
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 $1,652.87 / $2,518.66 / $4,985.21	Professional		$1,652.87	$2,518.66	$4,985.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,742.80 / $3,471.90 / $4,084.60	Professional		$2,742.80	$3,471.90	$4,084.60