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 $1,253.48 / $1,978.64 / $2,146.76	Professional		$1,253.48	$1,978.64	$2,146.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,466.00 / $3,059.53 / $3,824.41	Professional		$2,466.00	$3,059.53	$3,824.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.77 / $1,903.49 / $7,257.50	Professional		$1,217.77	$1,903.49	$7,257.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,704.02 / $3,311.22 / $11,869.99	Facility		$1,704.02	$3,311.22	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,460.50 / $2,680.06 / $14,575.95	Professional		$1,460.50	$2,680.06	$14,575.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,495.88 / $3,568.82 / $7,037.23	Facility		$2,495.88	$3,568.82	$7,037.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,002.00 / $2,922.84 / $4,141.08	Professional		$2,002.00	$2,922.84	$4,141.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,868.00 / $11,869.99	Facility		$6,354.00	$8,868.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.85 / $2,124.37 / $3,916.80	Professional		$1,388.85	$2,124.37	$3,916.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,036.07 / $2,577.30 / $3,032.10	Professional		$2,036.07	$2,577.30	$3,032.10