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 $944.65 / $1,688.47 / $1,721.01	Professional		$944.65	$1,688.47	$1,721.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.20 / $2,444.04 / $3,055.05	Professional		$1,915.20	$2,444.04	$3,055.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.72 / $1,632.10 / $2,538.94	Professional		$1,056.72	$1,632.10	$2,538.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,284.20 / $2,427.42 / $8,689.00	Facility		$1,284.20	$2,427.42	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,107.41 / $2,088.19 / $8,158.32	Professional		$1,107.41	$2,088.19	$8,158.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,805.00 / $2,427.42 / $3,137.99	Facility		$1,805.00	$2,427.42	$3,137.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,583.27 / $2,399.19 / $3,137.99	Professional		$1,583.27	$2,399.19	$3,137.99
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.36 / $1,621.90 / $3,020.80	Professional		$1,064.36	$1,621.90	$3,020.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,776.47 / $2,248.69 / $2,645.50	Professional		$1,776.47	$2,248.69	$2,645.50