Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.74 / $1,762.82 / $1,972.43	Professional		$1,150.74	$1,762.82	$1,972.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,309.00 / $2,811.77 / $3,514.71	Professional		$2,309.00	$2,811.77	$3,514.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.60 / $1,762.53 / $4,927.05	Professional		$1,127.60	$1,762.53	$4,927.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.40 / $3,048.15 / $12,206.95	Facility		$1,698.40	$3,048.15	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,324.73 / $2,450.06 / $14,942.49	Professional		$1,324.73	$2,450.06	$14,942.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,296.08 / $2,784.77 / $3,785.51	Facility		$2,296.08	$2,784.77	$3,785.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,810.79 / $2,694.31 / $3,785.51	Professional		$1,810.79	$2,694.31	$3,785.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,264.52 / $1,926.88 / $3,519.91	Professional		$1,264.52	$1,926.88	$3,519.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,876.88 / $2,375.80 / $2,795.00	Professional		$1,876.88	$2,375.80	$2,795.00