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 $1,274.82 / $2,268.92 / $2,351.76	Professional		$1,274.82	$2,268.92	$2,351.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.28 / $3,338.44 / $4,173.05	Professional		$2,316.28	$3,338.44	$4,173.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,378.93 / $1,925.26 / $4,551.00	Professional		$1,378.93	$1,925.26	$4,551.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,343.85 / $3,123.03 / $8,689.00	Facility		$1,343.85	$3,123.03	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,305.74 / $2,708.71 / $11,038.40	Professional		$1,305.74	$2,708.71	$11,038.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,753.34 / $3,320.93 / $4,476.17	Facility		$1,753.34	$3,320.93	$4,476.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,622.00 / $3,002.02 / $4,041.74	Professional		$1,622.00	$3,002.02	$4,041.74
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 $1,339.01 / $2,282.54 / $4,251.24	Professional		$1,339.01	$2,282.54	$4,251.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,313.36 / $2,928.30 / $3,445.10	Professional		$2,313.36	$2,928.30	$3,445.10