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 $808.06 / $3,786.75 / $6,496.14	Professional		$808.06	$3,786.75	$6,496.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,753.27 / $4,861.00 / $11,074.34	Professional		$1,753.27	$4,861.00	$11,074.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $792.04 / $3,190.50 / $6,433.99	Professional		$792.04	$3,190.50	$6,433.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,409.53 / $6,186.65 / $11,282.92	Facility		$1,409.53	$6,186.65	$11,282.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,552.40 / $7,222.61 / $19,837.62	Professional		$2,552.40	$7,222.61	$19,837.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $6,219.93 / $9,917.45	Facility		$1,932.00	$6,219.93	$9,917.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,753.27 / $6,068.91 / $10,998.07	Professional		$1,753.27	$6,068.91	$10,998.07
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 $3,823.04 / $6,179.78 / $12,231.71	Professional		$3,823.04	$6,179.78	$12,231.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,546.00 / $1,818.80 / $9,044.10	Professional		$1,546.00	$1,818.80	$9,044.10