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 $1,014.17 / $1,164.98 / $1,754.18	Professional		$1,014.17	$1,164.98	$1,754.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,095.00 / $2,498.57 / $3,123.22	Professional		$2,095.00	$2,498.57	$3,123.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.59 / $1,676.03 / $3,855.83	Professional		$1,042.59	$1,676.03	$3,855.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,754.18 / $2,737.85 / $12,342.67	Facility		$1,754.18	$2,737.85	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,162.15 / $2,218.65 / $8,240.32	Professional		$1,162.15	$2,218.65	$8,240.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,041.36 / $2,732.50 / $6,616.19	Facility		$2,041.36	$2,732.50	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,673.14 / $2,476.69 / $3,304.72	Professional		$1,673.14	$2,476.69	$3,304.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,162.15 / $1,690.40 / $3,439.22	Professional		$1,162.15	$1,690.40	$3,439.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,725.28 / $2,183.90 / $2,569.30	Professional		$1,725.28	$2,183.90	$2,569.30