Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.77 / $1,733.08 / $1,803.86	Professional		$990.77	$1,733.08	$1,803.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,013.42 / $2,587.48 / $3,202.10	Professional		$2,013.42	$2,587.48	$3,202.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.08 / $1,722.04 / $3,613.52	Professional		$1,123.08	$1,722.04	$3,613.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,579.08 / $2,668.94 / $7,896.02	Facility		$1,579.08	$2,668.94	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,188.79 / $2,242.63 / $8,612.71	Professional		$1,188.79	$2,242.63	$8,612.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,934.00 / $2,587.48 / $3,362.07	Facility		$1,934.00	$2,587.48	$3,362.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,694.52 / $2,570.51 / $3,362.07	Professional		$1,694.52	$2,570.51	$3,362.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,147.38 / $1,729.15 / $3,220.55	Professional		$1,147.38	$1,729.15	$3,220.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,880.44 / $2,380.30 / $2,800.30	Professional		$1,880.44	$2,380.30	$2,800.30