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 $1,717.93 / $3,223.33 / $3,475.62	Professional		$1,717.93	$3,223.33	$3,475.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,612.21 / $4,836.64 / $6,045.82	Professional		$3,612.21	$4,836.64	$6,045.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,155.30 / $3,277.56 / $8,282.89	Professional		$2,155.30	$3,277.56	$8,282.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,274.80 / $4,478.64 / $10,463.00	Facility		$2,274.80	$4,478.64	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.25 / $3,965.87 / $13,565.79	Professional		$2,290.25	$3,965.87	$13,565.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,324.00 / $4,478.64 / $6,276.38	Facility		$3,324.00	$4,478.64	$6,276.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,042.00 / $4,405.93 / $6,276.38	Professional		$3,042.00	$4,405.93	$6,276.38
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,189.26 / $3,336.02 / $6,213.33	Professional		$2,189.26	$3,336.02	$6,213.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,591.97 / $4,546.80 / $5,349.20	Professional		$3,591.97	$4,546.80	$5,349.20