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 $1,377.26 / $2,327.80 / $2,410.67	Professional		$1,377.26	$2,327.80	$2,410.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,799.11 / $3,431.84 / $4,275.31	Professional		$2,799.11	$3,431.84	$4,275.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,420.90 / $2,177.89 / $4,863.14	Professional		$1,420.90	$2,177.89	$4,863.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,823.97 / $3,852.85 / $20,063.05	Facility		$1,823.97	$3,852.85	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,609.53 / $3,064.43 / $11,152.14	Professional		$1,609.53	$3,064.43	$11,152.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,957.33 / $4,062.27 / $17,829.84	Facility		$2,957.33	$4,062.27	$17,829.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,340.27 / $3,391.54 / $4,600.81	Professional		$2,340.27	$3,391.54	$4,600.81
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $13,747.00 / $16,616.96	Facility		$9,542.00	$13,747.00	$16,616.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,536.37 / $2,342.07 / $4,736.62	Professional		$1,536.37	$2,342.07	$4,736.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,362.57 / $2,990.60 / $3,518.30	Professional		$2,362.57	$2,990.60	$3,518.30