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 $1,486.68 / $2,653.92 / $2,756.51	Professional		$1,486.68	$2,653.92	$2,756.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,835.96 / $3,900.95 / $4,876.18	Professional		$2,835.96	$3,900.95	$4,876.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.17 / $2,260.92 / $5,326.93	Professional		$1,425.17	$2,260.92	$5,326.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,610.23 / $3,684.24 / $8,689.00	Facility		$1,610.23	$3,684.24	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,392.59 / $3,134.61 / $12,931.52	Professional		$1,392.59	$3,134.61	$12,931.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,047.08 / $3,890.79 / $5,258.70	Facility		$2,047.08	$3,890.79	$5,258.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,836.59 / $3,530.11 / $4,746.62	Professional		$1,836.59	$3,530.11	$4,746.62
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 $1,365.11 / $2,682.02 / $5,308.55	Professional		$1,365.11	$2,682.02	$5,308.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,710.33 / $3,430.80 / $4,036.20	Professional		$2,710.33	$3,430.80	$4,036.20