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 $905.91 / $1,518.03 / $1,587.28	Professional		$905.91	$1,518.03	$1,587.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,760.63 / $2,248.48 / $2,810.60	Professional		$1,760.63	$2,248.48	$2,810.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $924.27 / $1,416.85 / $3,007.07	Professional		$924.27	$1,416.85	$3,007.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,587.28 / $2,444.41 / $12,206.95	Facility		$1,587.28	$2,444.41	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,060.69 / $2,000.17 / $8,440.44	Professional		$1,060.69	$2,000.17	$8,440.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,741.00 / $2,213.23 / $3,013.53	Facility		$1,741.00	$2,213.23	$3,013.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,496.00 / $2,213.23 / $2,969.75	Professional		$1,496.00	$2,213.23	$2,969.75
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 $1,012.47 / $1,542.82 / $3,138.96	Professional		$1,012.47	$1,542.82	$3,138.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,541.76 / $1,951.60 / $2,296.00	Professional		$1,541.76	$1,951.60	$2,296.00