Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,787.13 / $4,787.13 / $10,359.79	Facility		$4,787.13	$4,787.13	$10,359.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,787.13 / $10,493.60	Professional		$4,686.85	$4,787.13	$10,493.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,776.10 / $4,776.10 / $5,970.14	Professional		$4,776.10	$4,776.10	$5,970.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,469.06 / $4,621.53 / $4,718.99	Professional		$2,469.06	$4,621.53	$4,718.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,458.00 / $4,787.13 / $6,054.86	Facility		$2,458.00	$4,787.13	$6,054.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,971.60 / $4,672.47 / $6,986.37	Professional		$3,971.60	$4,672.47	$6,986.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,108.77 / $6,986.37 / $9,400.17	Facility		$4,108.77	$6,986.37	$9,400.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,768.40 / $5,309.64 / $7,224.77	Professional		$2,768.40	$5,309.64	$7,224.77
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,827.46	Professional		$4,686.85	$4,686.85	$4,827.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $4,672.47 / $4,672.47	Facility		$4,672.47	$4,672.47	$4,672.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,672.47 / $4,672.47 / $4,672.47	Professional		$4,672.47	$4,672.47	$4,672.47