Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,487.69 / $1,830.81 / $2,575.05	Professional		$1,487.69	$1,830.81	$2,575.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,052.00 / $3,656.32 / $4,570.39	Professional		$3,052.00	$3,656.32	$4,570.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.16 / $2,432.63 / $7,264.85	Professional		$1,522.16	$2,432.63	$7,264.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,253.27 / $4,009.46 / $14,242.22	Facility		$2,253.27	$4,009.46	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,715.29 / $3,274.64 / $12,090.08	Professional		$1,715.29	$3,274.64	$12,090.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,052.00 / $4,357.57 / $9,687.37	Facility		$3,052.00	$4,357.57	$9,687.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,486.17 / $3,637.53 / $4,869.77	Professional		$2,486.17	$3,637.53	$4,869.77
United Facility/Professional Facility Modifier Low / Median / High Price $7,234.00 / $9,346.00 / $14,242.22	Facility		$7,234.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,637.32 / $2,494.96 / $4,678.05	Professional		$1,637.32	$2,494.96	$4,678.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,533.92 / $3,207.50 / $3,773.50	Professional		$2,533.92	$3,207.50	$3,773.50