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 $1,480.90 / $2,432.00 / $2,564.62	Professional		$1,480.90	$2,432.00	$2,564.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,043.00 / $3,646.05 / $4,538.26	Professional		$3,043.00	$3,646.05	$4,538.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,536.22 / $2,414.07 / $4,953.53	Professional		$1,536.22	$2,414.07	$4,953.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,321.92 / $3,684.82 / $10,463.00	Facility		$2,321.92	$3,684.82	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,713.49 / $3,271.21 / $12,029.60	Professional		$1,713.49	$3,271.21	$12,029.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,977.17 / $3,684.82 / $4,887.99	Facility		$2,977.17	$3,684.82	$4,887.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,468.09 / $3,617.87 / $4,887.99	Professional		$2,468.09	$3,617.87	$4,887.99
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 $1,635.61 / $2,492.35 / $4,689.72	Professional		$1,635.61	$2,492.35	$4,689.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,520.17 / $3,190.10 / $3,753.10	Professional		$2,520.17	$3,190.10	$3,753.10