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 $1,170.33 / $1,950.87 / $2,025.19	Professional		$1,170.33	$1,950.87	$2,025.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,405.00 / $2,880.33 / $3,600.42	Professional		$2,405.00	$2,880.33	$3,600.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,196.17 / $1,908.89 / $3,916.74	Professional		$1,196.17	$1,908.89	$3,916.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,801.94 / $2,909.19 / $8,689.00	Facility		$1,801.94	$2,909.19	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,346.72 / $2,571.01 / $9,510.48	Professional		$1,346.72	$2,571.01	$9,510.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,355.28 / $2,881.88 / $3,837.48	Facility		$2,355.28	$2,881.88	$3,837.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,951.47 / $2,860.25 / $3,837.48	Professional		$1,951.47	$2,860.25	$3,837.48
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 $1,346.72 / $1,958.86 / $3,985.43	Professional		$1,346.72	$1,958.86	$3,985.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,992.46 / $2,522.10 / $2,967.10	Professional		$1,992.46	$2,522.10	$2,967.10