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 $1,149.67 / $1,893.75 / $6,559.44	Professional		$1,149.67	$1,893.75	$6,559.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.64 / $2,801.64 / $3,502.05	Professional		$1,830.64	$2,801.64	$3,502.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.39 / $1,978.24 / $3,978.14	Professional		$1,161.39	$1,978.24	$3,978.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,630.38 / $3,200.44 / $9,401.94	Facility		$1,630.38	$3,200.44	$9,401.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,473.30 / $2,509.00 / $4,946.57	Professional		$1,473.30	$2,509.00	$4,946.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,099.91 / $3,070.68 / $3,929.20	Facility		$2,099.91	$3,070.68	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,789.08 / $2,774.36 / $3,842.19	Professional		$1,789.08	$2,774.36	$3,842.19
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 $1,350.53 / $1,899.56 / $3,683.25	Professional		$1,350.53	$1,899.56	$3,683.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,785.40 / $2,260.00 / $2,658.90	Professional		$1,785.40	$2,260.00	$2,658.90