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 $1,474.25 / $2,768.54 / $7,592.00	Professional		$1,474.25	$2,768.54	$7,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,872.78 / $3,608.01 / $4,510.02	Professional		$1,872.78	$3,608.01	$4,510.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.17 / $1,990.88 / $5,481.22	Professional		$1,406.17	$1,990.88	$5,481.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,153.10 / $4,148.79 / $9,874.90	Facility		$2,153.10	$4,148.79	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,682.75 / $2,820.28 / $5,190.60	Professional		$1,682.75	$2,820.28	$5,190.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,270.37 / $2,973.84 / $4,034.39	Facility		$2,270.37	$2,973.84	$4,034.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,270.37 / $3,079.19 / $4,478.34	Professional		$2,270.37	$3,079.19	$4,478.34
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 $1,609.59 / $2,341.21 / $4,745.14	Professional		$1,609.59	$2,341.21	$4,745.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,328.37 / $3,224.70 / $3,467.40	Professional		$2,328.37	$3,224.70	$3,467.40