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 $2,609.84 / $5,094.55 / $5,328.14	Professional		$2,609.84	$5,094.55	$5,328.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,527.11 / $7,510.52 / $9,388.16	Professional		$5,527.11	$7,510.52	$9,388.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,116.65 / $4,978.37 / $13,284.37	Professional		$3,116.65	$4,978.37	$13,284.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,015.28 / $7,182.79 / $9,346.00	Facility		$5,015.28	$7,182.79	$9,346.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,370.66 / $6,606.22 / $24,911.84	Professional		$3,370.66	$6,606.22	$24,911.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,222.00 / $7,182.79 / $10,002.28	Facility		$5,222.00	$7,182.79	$10,002.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,087.14 / $6,606.22 / $10,002.28	Professional		$5,087.14	$6,606.22	$10,002.28
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 $3,367.83 / $5,136.24 / $9,295.24	Professional		$3,367.83	$5,136.24	$9,295.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,195.04 / $6,576.00 / $7,736.50	Professional		$5,195.04	$6,576.00	$7,736.50