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 $1,162.67 / $1,688.11 / $2,006.93	Professional		$1,162.67	$1,688.11	$2,006.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,249.00 / $2,854.62 / $3,568.28	Professional		$2,249.00	$2,854.62	$3,568.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.26 / $1,865.51 / $4,001.49	Professional		$1,173.26	$1,865.51	$4,001.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,720.90 / $2,997.90 / $11,892.32	Facility		$1,720.90	$2,997.90	$11,892.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,339.48 / $2,435.08 / $9,657.29	Professional		$1,339.48	$2,435.08	$9,657.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,249.00 / $2,748.85 / $3,803.20	Facility		$2,249.00	$2,748.85	$3,803.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,728.65 / $2,748.85 / $3,803.20	Professional		$1,728.65	$2,748.85	$3,803.20
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 $1,278.59 / $1,948.34 / $3,628.78	Professional		$1,278.59	$1,948.34	$3,628.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,957.46 / $2,477.80 / $2,915.10	Professional		$1,957.46	$2,477.80	$2,915.10