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 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,737.26 / $4,986.54 / $5,157.41	Professional		$2,737.26	$4,986.54	$5,157.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,694.87 / $7,262.77 / $9,078.45	Professional		$5,694.87	$7,262.77	$9,078.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,016.83 / $4,819.68 / $9,074.45	Professional		$3,016.83	$4,819.68	$9,074.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.63 / $6,930.24 / $9,185.57	Facility		$2,950.63	$6,930.24	$9,185.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,397.80 / $6,546.09 / $24,103.04	Professional		$3,397.80	$6,546.09	$24,103.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,968.93 / $7,383.32 / $9,688.45	Facility		$5,968.93	$7,383.32	$9,688.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,045.38 / $6,930.24 / $9,688.45	Professional		$5,045.38	$6,930.24	$9,688.45
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 $3,265.92 / $5,118.14 / $9,331.20	Professional		$3,265.92	$5,118.14	$9,331.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,026.22 / $6,362.30 / $7,485.10	Professional		$5,026.22	$6,362.30	$7,485.10