Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.44 / $2,308.53 / $5,390.00	Professional		$1,228.44	$2,308.53	$5,390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,026.02 / $3,026.02 / $3,782.53	Professional		$3,026.02	$3,026.02	$3,782.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.82 / $1,678.53 / $3,832.77	Professional		$1,189.82	$1,678.53	$3,832.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,693.89 / $3,733.62 / $13,250.95	Facility		$1,693.89	$3,733.62	$13,250.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,461.37 / $2,656.30 / $4,528.85	Professional		$1,461.37	$2,656.30	$4,528.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,034.00 / $4,002.40 / $7,468.46	Facility		$2,034.00	$4,002.40	$7,468.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,802.27 / $2,764.86 / $4,002.40	Professional		$1,802.27	$2,764.86	$4,002.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $13,238.00	Facility		$7,221.00	$8,060.00	$13,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,377.88 / $2,033.22 / $3,812.28	Professional		$1,377.88	$2,033.22	$3,812.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,959.36 / $2,713.60 / $2,917.80	Professional		$1,959.36	$2,713.60	$2,917.80