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 $1,012.33 / $1,743.32 / $1,801.27	Professional		$1,012.33	$1,743.32	$1,801.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,088.00 / $2,457.28 / $3,071.60	Professional		$2,088.00	$2,457.28	$3,071.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.57 / $1,591.29 / $4,163.03	Professional		$1,035.57	$1,591.29	$4,163.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,647.74 / $2,619.69 / $7,454.00	Facility		$1,647.74	$2,619.69	$7,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,183.67 / $2,172.11 / $10,299.59	Professional		$1,183.67	$2,172.11	$10,299.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,029.72 / $2,482.55 / $3,247.00	Facility		$2,029.72	$2,482.55	$3,247.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,832.35 / $2,400.28 / $3,247.00	Professional		$1,832.35	$2,400.28	$3,247.00
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 $1,086.06 / $1,683.75 / $3,103.02	Professional		$1,086.06	$1,683.75	$3,103.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,672.04 / $2,116.50 / $2,490.00	Professional		$1,672.04	$2,116.50	$2,490.00