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 $906.83 / $1,493.12 / $1,721.01	Professional		$906.83	$1,493.12	$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 / $2,548.23	Professional		$1,056.72	$1,632.10	$2,548.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,284.20 / $2,345.04 / $8,689.00	Facility		$1,284.20	$2,345.04	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,110.90 / $1,999.71 / $8,158.32	Professional		$1,110.90	$1,999.71	$8,158.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,814.00 / $2,345.04 / $3,152.20	Facility		$1,814.00	$2,345.04	$3,152.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,483.77 / $2,345.04 / $3,152.20	Professional		$1,483.77	$2,345.04	$3,152.20
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 / $1,868.52 / $3,020.80	Professional		$1,064.36	$1,868.52	$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