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 $965.23 / $1,657.29 / $1,715.85	Professional		$965.23	$1,657.29	$1,715.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,026.00 / $2,367.67 / $2,959.61	Professional		$2,026.00	$2,367.67	$2,959.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $945.73 / $1,490.06 / $3,923.36	Professional		$945.73	$1,490.06	$3,923.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,457.54 / $2,568.80 / $11,869.99	Facility		$1,457.54	$2,568.80	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,109.43 / $2,085.21 / $10,228.59	Professional		$1,109.43	$2,085.21	$10,228.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,923.73 / $2,321.19 / $3,035.98	Facility		$1,923.73	$2,321.19	$3,035.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,528.00 / $2,282.38 / $3,035.98	Professional		$1,528.00	$2,282.38	$3,035.98
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 $1,061.19 / $1,612.67 / $3,140.45	Professional		$1,061.19	$1,612.67	$3,140.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,589.88 / $2,012.50 / $2,367.69	Professional		$1,589.88	$2,012.50	$2,367.69