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 $2,754.68 / $4,180.75 / $5,123.35	Professional		$2,754.68	$4,180.75	$5,123.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,146.83 / $7,212.91 / $9,016.12	Professional		$5,146.83	$7,212.91	$9,016.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,996.81 / $4,616.92 / $9,420.53	Professional		$2,996.81	$4,616.92	$9,420.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,502.13 / $6,403.99 / $8,804.25	Facility		$1,502.13	$6,403.99	$8,804.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,244.44 / $5,909.57 / $23,941.52	Professional		$3,244.44	$5,909.57	$23,941.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,046.00 / $6,403.99 / $9,623.28	Facility		$5,046.00	$6,403.99	$9,623.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,317.47 / $6,403.99 / $9,154.24	Professional		$4,317.47	$6,403.99	$9,154.24
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 $3,242.00 / $4,943.89 / $9,208.02	Professional		$3,242.00	$4,943.89	$9,208.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,992.80 / $6,320.00 / $7,435.20	Professional		$4,992.80	$6,320.00	$7,435.20