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 $1,872.29 / $3,136.34 / $3,244.17	Professional		$1,872.29	$3,136.34	$3,244.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,050.61 / $4,641.89 / $5,722.49	Professional		$4,050.61	$4,641.89	$5,722.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,920.85 / $3,073.01 / $6,256.46	Professional		$1,920.85	$3,073.01	$6,256.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,205.44 / $4,723.00 / $8,689.00	Facility		$3,205.44	$4,723.00	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,184.96 / $4,155.18 / $15,208.80	Professional		$2,184.96	$4,155.18	$15,208.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,762.10 / $4,745.16 / $6,206.37	Facility		$3,762.10	$4,745.16	$6,206.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,137.88 / $4,574.21 / $6,206.37	Professional		$3,137.88	$4,574.21	$6,206.37
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 $2,077.59 / $3,165.86 / $6,441.13	Professional		$2,077.59	$3,165.86	$6,441.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,186.39 / $4,033.40 / $4,745.20	Professional		$3,186.39	$4,033.40	$4,745.20