Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.25 / $2,651.43 / $7,592.00	Professional		$1,412.25	$2,651.43	$7,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,793.56 / $3,458.42 / $4,323.03	Professional		$1,793.56	$3,458.42	$4,323.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.94 / $1,906.60 / $4,155.57	Professional		$1,345.94	$1,906.60	$4,155.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,998.90 / $3,883.08 / $9,874.90	Facility		$1,998.90	$3,883.08	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,607.68 / $2,683.32 / $5,027.83	Professional		$1,607.68	$2,683.32	$5,027.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,175.42 / $2,951.58 / $3,838.46	Facility		$2,175.42	$2,951.58	$3,838.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,175.42 / $2,951.58 / $4,331.55	Professional		$2,175.42	$2,951.58	$4,331.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,537.78 / $2,236.77 / $4,110.14	Professional		$1,537.78	$2,236.77	$4,110.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,230.80 / $3,089.50 / $3,322.10	Professional		$2,230.80	$3,089.50	$3,322.10