Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.04 / $1,473.55 / $2,163.46	Professional		$935.04	$1,473.55	$2,163.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.48 / $2,599.27 / $4,053.27	Professional		$1,320.48	$2,599.27	$4,053.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $955.16 / $1,659.07 / $3,664.72	Professional		$955.16	$1,659.07	$3,664.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,386.64 / $2,741.57 / $9,114.54	Facility		$1,386.64	$2,741.57	$9,114.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,704.64 / $2,742.25 / $6,823.92	Professional		$1,704.64	$2,742.25	$6,823.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,120.77 / $3,070.68 / $4,407.24	Facility		$2,120.77	$3,070.68	$4,407.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,997.80 / $2,793.75 / $4,407.24	Professional		$1,997.80	$2,793.75	$4,407.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,562.58 / $2,230.00 / $4,227.75	Professional		$1,562.58	$2,230.00	$4,227.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,627.40 / $1,914.60 / $2,930.90	Professional		$1,627.40	$1,914.60	$2,930.90