Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,562.17 / $4,367.88 / $16,234.10	Professional		$2,562.17	$4,367.88	$16,234.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,121.39 / $6,922.67 / $7,772.70	Professional		$6,121.39	$6,922.67	$7,772.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,690.16 / $4,350.68 / $7,653.81	Professional		$2,690.16	$4,350.68	$7,653.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,411.98 / $6,572.00 / $7,856.00	Facility		$3,411.98	$6,572.00	$7,856.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,329.52 / $6,634.53 / $13,423.45	Professional		$3,329.52	$6,634.53	$13,423.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,432.47 / $6,312.17 / $8,650.20	Facility		$4,432.47	$6,312.17	$8,650.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,432.47 / $6,312.17 / $8,059.99	Professional		$4,432.47	$6,312.17	$8,059.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,190.79 / $6,378.04 / $9,032.16	Professional		$3,190.79	$6,378.04	$9,032.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,571.81 / $5,787.10 / $6,808.30	Professional		$4,571.81	$5,787.10	$6,808.30