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 $2,519.65 / $4,228.29 / $4,368.52	Professional		$2,519.65	$4,228.29	$4,368.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,950.00 / $6,151.34 / $7,674.14	Professional		$4,950.00	$6,151.34	$7,674.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,588.30 / $4,103.32 / $8,381.67	Professional		$2,588.30	$4,103.32	$8,381.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,722.06 / $6,151.34 / $8,689.00	Facility		$3,722.06	$6,151.34	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,940.07 / $5,581.04 / $20,458.32	Professional		$2,940.07	$5,581.04	$20,458.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,950.00 / $6,151.34 / $8,388.35	Facility		$4,950.00	$6,151.34	$8,388.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,258.32 / $6,151.34 / $8,388.35	Professional		$4,258.32	$6,151.34	$8,388.35
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 $2,806.43 / $4,276.46 / $7,964.91	Professional		$2,806.43	$4,276.46	$7,964.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,285.04 / $5,424.10 / $6,381.30	Professional		$4,285.04	$5,424.10	$6,381.30