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 $1,295.16 / $2,429.98 / $5,390.00	Professional		$1,295.16	$2,429.98	$5,390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,591.42 / $3,160.81 / $3,951.01	Professional		$1,591.42	$3,160.81	$3,951.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.33 / $1,733.76 / $3,585.25	Professional		$1,219.33	$1,733.76	$3,585.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,649.26 / $3,473.14 / $9,874.90	Facility		$1,649.26	$3,473.14	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,423.81 / $2,382.44 / $4,366.08	Professional		$1,423.81	$2,382.44	$4,366.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $2,856.67 / $3,729.54	Facility		$1,961.00	$2,856.67	$3,729.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,890.98 / $2,700.70 / $3,740.70	Professional		$1,890.98	$2,700.70	$3,740.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,859.18 / $7,091.00 / $10,320.00	Facility		$4,859.18	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,362.08 / $2,004.88 / $4,079.05	Professional		$1,362.08	$2,004.88	$4,079.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,031.56 / $2,813.60 / $3,025.40	Professional		$2,031.56	$2,813.60	$3,025.40