Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,090.00 / $11,611.47	Facility		$5,091.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.17 / $1,650.72 / $3,469.64	Professional		$779.17	$1,650.72	$3,469.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,686.31 / $3,066.00 / $4,806.35	Professional		$1,686.31	$3,066.00	$4,806.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $760.45 / $2,002.03 / $3,101.80	Professional		$760.45	$2,002.03	$3,101.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,358.00 / $3,066.00 / $8,572.06	Facility		$1,358.00	$3,066.00	$8,572.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,898.31 / $3,812.92 / $12,510.29	Professional		$1,898.31	$3,812.92	$12,510.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,889.97 / $3,812.92 / $7,164.09	Facility		$1,889.97	$3,812.92	$7,164.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,686.31 / $3,273.50 / $4,806.35	Professional		$1,686.31	$3,273.50	$4,806.35
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 $1,937.79 / $2,994.74 / $5,615.13	Professional		$1,937.79	$2,994.74	$5,615.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,486.90 / $1,749.30 / $3,955.40	Professional		$1,486.90	$1,749.30	$3,955.40