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 $1,065.64 / $1,549.28 / $6,182.62	Professional		$1,065.64	$1,549.28	$6,182.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.40 / $2,303.02 / $2,878.77	Professional		$1,509.40	$2,303.02	$2,878.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.03 / $1,498.28 / $4,717.14	Professional		$1,015.03	$1,498.28	$4,717.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,277.65 / $2,714.17 / $9,495.24	Facility		$1,277.65	$2,714.17	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,188.57 / $1,931.40 / $3,926.57	Professional		$1,188.57	$1,931.40	$3,926.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,258.35 / $3,070.68 / $3,914.66	Facility		$2,258.35	$3,070.68	$3,914.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,828.06 / $2,414.14 / $3,171.28	Professional		$1,828.06	$2,414.14	$3,171.28
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 $1,092.40 / $1,489.64 / $2,880.50	Professional		$1,092.40	$1,489.64	$2,880.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,453.36 / $1,839.70 / $2,164.30	Professional		$1,453.36	$1,839.70	$2,164.30