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 $508.31 / $2,956.08 / $9,952.16	Professional		$508.31	$2,956.08	$9,952.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.88 / $11,714.60 / $15,934.54	Professional		$1,109.88	$11,714.60	$15,934.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $533.70 / $6,235.98 / $8,605.77	Professional		$533.70	$6,235.98	$8,605.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $967.69 / $9,112.29 / $18,346.22	Facility		$967.69	$9,112.29	$18,346.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,059.73 / $12,880.24 / $26,408.90	Professional		$6,059.73	$12,880.24	$26,408.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,109.88 / $6,616.19 / $15,649.33	Facility		$1,109.88	$6,616.19	$15,649.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,109.88 / $11,533.16 / $18,222.72	Professional		$1,109.88	$11,533.16	$18,222.72
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 $6,504.47 / $10,429.33 / $20,165.70	Professional		$6,504.47	$10,429.33	$20,165.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $978.70 / $1,151.40 / $12,152.50	Professional		$978.70	$1,151.40	$12,152.50