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 $989.26 / $1,632.19 / $1,710.88	Professional		$989.26	$1,632.19	$1,710.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,060.00 / $2,437.80 / $3,047.25	Professional		$2,060.00	$2,437.80	$3,047.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.38 / $1,644.51 / $4,723.13	Professional		$1,018.38	$1,644.51	$4,723.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,710.88 / $2,676.59 / $14,242.22	Facility		$1,710.88	$2,676.59	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,132.26 / $2,161.59 / $8,038.24	Professional		$1,132.26	$2,161.59	$8,038.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,991.46 / $2,665.46 / $8,332.41	Facility		$1,991.46	$2,665.46	$8,332.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,633.80 / $2,416.28 / $3,218.13	Professional		$1,633.80	$2,416.28	$3,218.13
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 $1,079.30 / $1,646.93 / $3,096.03	Professional		$1,079.30	$1,646.93	$3,096.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,683.17 / $2,130.60 / $2,506.60	Professional		$1,683.17	$2,130.60	$2,506.60