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 $1,535.66 / $2,540.98 / $2,659.60	Professional		$1,535.66	$2,540.98	$2,659.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,212.00 / $3,767.47 / $4,703.82	Professional		$3,212.00	$3,767.47	$4,703.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.31 / $2,503.78 / $7,408.45	Professional		$1,593.31	$2,503.78	$7,408.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,545.90 / $3,897.67 / $8,689.00	Facility		$2,545.90	$3,897.67	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.18 / $3,394.71 / $16,935.64	Professional		$1,778.18	$3,394.71	$16,935.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,087.22 / $3,861.66 / $5,050.80	Facility		$3,087.22	$3,861.66	$5,050.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,567.02 / $3,753.25 / $5,050.80	Professional		$2,567.02	$3,753.25	$5,050.80
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 $1,697.36 / $2,586.44 / $4,876.74	Professional		$1,697.36	$2,586.44	$4,876.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,614.51 / $3,309.50 / $3,893.50	Professional		$2,614.51	$3,309.50	$3,893.50