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 $1,789.09 / $2,967.71 / $3,471.57	Professional		$1,789.09	$2,967.71	$3,471.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,654.32 / $4,814.84 / $6,018.55	Professional		$3,654.32	$4,814.84	$6,018.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,157.73 / $3,271.69 / $6,265.29	Professional		$2,157.73	$3,271.69	$6,265.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,356.39 / $4,670.39 / $10,463.00	Facility		$2,356.39	$4,670.39	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,296.76 / $4,035.68 / $15,889.63	Professional		$2,296.76	$4,035.68	$15,889.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,363.00 / $4,778.64 / $6,403.47	Facility		$3,363.00	$4,778.64	$6,403.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,885.08 / $4,778.64 / $6,403.47	Professional		$2,885.08	$4,778.64	$6,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $13,657.65 / $16,616.96	Facility		$9,542.00	$13,657.65	$16,616.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,193.60 / $3,342.62 / $6,800.78	Professional		$2,193.60	$3,342.62	$6,800.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,590.47 / $4,544.89 / $5,346.90	Professional		$3,590.47	$4,544.89	$5,346.90