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 $1,138.39 / $1,876.69 / $1,876.69	Professional		$1,138.39	$1,876.69	$1,876.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,745.96 / $2,775.15 / $3,468.94	Professional		$1,745.96	$2,775.15	$3,468.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $409.84 / $693.00 / $5,411.37	Professional		$409.84	$693.00	$5,411.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,414.52 / $2,800.28 / $9,495.24	Facility		$1,414.52	$2,800.28	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,237.20 / $2,036.61 / $3,878.27	Professional		$1,237.20	$2,036.61	$3,878.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,867.00 / $3,061.43 / $3,914.66	Facility		$1,867.00	$3,061.43	$3,914.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,430.00 / $2,435.71 / $3,381.46	Professional		$1,430.00	$2,435.71	$3,381.46
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 $1,302.93 / $1,787.06 / $3,457.40	Professional		$1,302.93	$1,787.06	$3,457.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,034.66 / $1,309.70 / $1,540.80	Professional		$1,034.66	$1,309.70	$1,540.80