Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.36 / $2,417.75 / $2,537.92	Professional		$1,460.36	$2,417.75	$2,537.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,912.00 / $3,596.33 / $4,495.41	Professional		$2,912.00	$3,596.33	$4,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.95 / $2,487.63 / $4,870.10	Professional		$1,498.95	$2,487.63	$4,870.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,537.92 / $3,645.74 / $10,463.00	Facility		$2,537.92	$3,645.74	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,689.59 / $3,167.64 / $14,468.63	Professional		$1,689.59	$3,167.64	$14,468.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,580.02 / $4,808.92	Facility		$2,912.00	$3,580.02	$4,808.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,416.00 / $3,580.02 / $4,808.92	Professional		$2,416.00	$3,580.02	$4,808.92
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 $1,612.79 / $2,457.58 / $4,577.25	Professional		$1,612.79	$2,457.58	$4,577.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,493.87 / $3,156.80 / $3,713.80	Professional		$2,493.87	$3,156.80	$3,713.80