Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,012.00 / $6,298.62 / $10,255.42	Facility		$5,012.00	$6,298.62	$10,255.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,440.05 / $2,203.37 / $2,501.17	Professional		$1,440.05	$2,203.37	$2,501.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,985.00 / $3,546.37 / $4,416.52	Professional		$2,985.00	$3,546.37	$4,416.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,480.66 / $2,353.63 / $4,856.87	Professional		$1,480.66	$2,353.63	$4,856.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,270.16 / $3,664.91 / $10,463.00	Facility		$2,270.16	$3,664.91	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,676.05 / $3,138.78 / $11,728.96	Professional		$1,676.05	$3,138.78	$11,728.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,901.51 / $3,635.03 / $4,754.38	Facility		$2,901.51	$3,635.03	$4,754.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,292.64 / $3,527.62 / $4,754.38	Professional		$2,292.64	$3,527.62	$4,754.38
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,604.15 / $2,499.21 / $4,825.34	Professional		$1,604.15	$2,499.21	$4,825.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,457.37 / $3,110.60 / $3,659.50	Professional		$2,457.37	$3,110.60	$3,659.50