Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $10,563.53	Facility		$4,146.00	$5,091.00	$10,563.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.68 / $1,250.58 / $4,537.49	Professional		$1,004.68	$1,250.58	$4,537.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,999.00 / $2,492.34 / $3,115.43	Professional		$1,999.00	$2,492.34	$3,115.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.40 / $1,630.49 / $4,379.47	Professional		$1,022.40	$1,630.49	$4,379.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,439.53 / $2,709.43 / $20,063.05	Facility		$1,439.53	$2,709.43	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,142.17 / $2,156.09 / $8,172.08	Professional		$1,142.17	$2,156.09	$8,172.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,026.42 / $2,922.39 / $12,675.86	Facility		$2,026.42	$2,922.39	$12,675.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,647.56 / $2,458.48 / $3,248.00	Professional		$1,647.56	$2,458.48	$3,248.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.26 / $1,661.34 / $3,094.25	Professional		$1,090.26	$1,661.34	$3,094.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,712.56 / $2,167.80 / $2,550.40	Professional		$1,712.56	$2,167.80	$2,550.40