Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.33 / $1,733.84 / $6,895.86	Professional		$1,055.33	$1,733.84	$6,895.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,679.86 / $2,604.53 / $3,255.66	Professional		$1,679.86	$2,604.53	$3,255.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.16 / $1,642.41 / $2,784.49	Professional		$1,060.16	$1,642.41	$2,784.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,350.73 / $2,961.71 / $9,495.24	Facility		$1,350.73	$2,961.71	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,255.69 / $2,041.85 / $3,567.53	Professional		$1,255.69	$2,041.85	$3,567.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,657.37 / $2,961.71 / $3,914.66	Facility		$1,657.37	$2,961.71	$3,914.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,536.12 / $2,345.34 / $3,249.90	Professional		$1,536.12	$2,345.34	$3,249.90
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 $1,201.08 / $1,637.85 / $2,903.44	Professional		$1,201.08	$1,637.85	$2,903.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,641.15 / $2,077.40 / $2,444.00	Professional		$1,641.15	$2,077.40	$2,444.00