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 $4,274.71 / $7,290.69 / $27,025.00	Professional		$4,274.71	$7,290.69	$27,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,190.62 / $10,190.62 / $12,738.29	Professional		$10,190.62	$10,190.62	$12,738.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,494.14 / $6,426.36 / $8,774.66	Professional		$4,494.14	$6,426.36	$8,774.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,663.00 / $8,056.25 / $13,001.52	Facility		$4,663.00	$8,056.25	$13,001.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,335.48 / $10,717.82 / $16,778.52	Professional		$5,335.48	$10,717.82	$16,778.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,280.00 / $10,530.50 / $14,351.91	Facility		$6,280.00	$10,530.50	$14,351.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,196.00 / $10,530.50 / $13,112.41	Professional		$6,196.00	$10,530.50	$13,112.41
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 $5,036.22 / $10,657.05 / $15,103.13	Professional		$5,036.22	$10,657.05	$15,103.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,626.98 / $9,654.40 / $11,358.20	Professional		$7,626.98	$9,654.40	$11,358.20