Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,512.93 / $2,582.08 / $9,617.77	Professional		$1,512.93	$2,582.08	$9,617.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,643.07 / $4,101.42 / $4,553.84	Professional		$3,643.07	$4,101.42	$4,553.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,596.59 / $2,526.48 / $6,355.20	Professional		$1,596.59	$2,526.48	$6,355.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,582.08 / $4,613.00 / $14,428.30	Facility		$2,582.08	$4,613.00	$14,428.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,947.26 / $3,888.68 / $5,995.08	Professional		$1,947.26	$3,888.68	$5,995.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,464.83 / $3,853.32 / $5,039.89	Facility		$2,464.83	$3,853.32	$5,039.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,464.83 / $3,767.06 / $5,039.89	Professional		$2,464.83	$3,767.06	$5,039.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.13 / $3,729.80 / $5,282.44	Professional		$1,866.13	$3,729.80	$5,282.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,728.42 / $3,453.70 / $4,063.20	Professional		$2,728.42	$3,453.70	$4,063.20