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 $2,383.09 / $4,066.11 / $15,109.40	Professional		$2,383.09	$4,066.11	$15,109.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,716.26 / $6,466.47 / $7,244.38	Professional		$5,716.26	$6,466.47	$7,244.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.35 / $4,432.18 / $7,451.79	Professional		$2,511.35	$4,432.18	$7,451.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,971.93 / $6,261.81 / $7,305.00	Facility		$3,971.93	$6,261.81	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,076.85 / $6,123.68 / $10,897.17	Professional		$3,076.85	$6,123.68	$10,897.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,075.60 / $6,108.18 / $7,989.10	Facility		$4,075.60	$6,108.18	$7,989.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,075.60 / $5,909.72 / $7,989.10	Professional		$4,075.60	$5,909.72	$7,989.10
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 $2,948.65 / $5,927.53 / $8,346.71	Professional		$2,948.65	$5,927.53	$8,346.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,280.30 / $5,418.10 / $6,374.20	Professional		$4,280.30	$5,418.10	$6,374.20