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 $1,697.07 / $2,174.86 / $3,187.19	Professional		$1,697.07	$2,174.86	$3,187.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,393.86 / $4,416.20 / $5,389.42	Professional		$3,393.86	$4,416.20	$5,389.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,925.59 / $2,925.07 / $6,833.25	Professional		$1,925.59	$2,925.07	$6,833.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,135.76 / $4,253.54 / $8,689.00	Facility		$2,135.76	$4,253.54	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,050.58 / $3,855.37 / $14,648.48	Professional		$2,050.58	$3,855.37	$14,648.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,123.00 / $4,604.04 / $5,789.85	Facility		$3,123.00	$4,604.04	$5,789.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,575.46 / $4,426.71 / $5,789.85	Professional		$2,575.46	$4,426.71	$5,789.85
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 $1,957.37 / $2,982.66 / $5,555.20	Professional		$1,957.37	$2,982.66	$5,555.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,207.16 / $4,059.70 / $4,776.10	Professional		$3,207.16	$4,059.70	$4,776.10