Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.31 / $1,525.27 / $1,749.78	Professional		$1,006.31	$1,525.27	$1,749.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,140.00 / $2,495.61 / $3,092.05	Professional		$2,140.00	$2,495.61	$3,092.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.45 / $1,678.44 / $3,667.81	Professional		$1,052.45	$1,678.44	$3,667.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,622.98 / $2,694.66 / $6,034.22	Facility		$1,622.98	$2,694.66	$6,034.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,183.33 / $2,243.60 / $11,189.53	Professional		$1,183.33	$2,243.60	$11,189.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,802.85 / $2,429.98 / $2,994.18	Facility		$1,802.85	$2,429.98	$2,994.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,709.04 / $2,495.61 / $3,336.33	Professional		$1,709.04	$2,495.61	$3,336.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.83 / $1,699.34 / $3,165.03	Professional		$1,122.83	$1,699.34	$3,165.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,738.47 / $2,200.60 / $2,588.90	Professional		$1,738.47	$2,200.60	$2,588.90