Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,090.00 / $11,611.47	Facility		$5,091.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.81 / $1,680.37 / $1,761.94	Professional		$1,019.81	$1,680.37	$1,761.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,051.00 / $2,515.71 / $3,144.64	Professional		$2,051.00	$2,515.71	$3,144.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.15 / $1,694.11 / $4,072.99	Professional		$1,034.15	$1,694.11	$4,072.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,761.94 / $2,750.56 / $12,342.67	Facility		$1,761.94	$2,750.56	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,154.46 / $2,202.25 / $8,747.54	Professional		$1,154.46	$2,202.25	$8,747.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,051.00 / $2,750.56 / $6,616.19	Facility		$2,051.00	$2,750.56	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,683.24 / $2,482.52 / $3,304.51	Professional		$1,683.24	$2,482.52	$3,304.51
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 $1,101.99 / $1,679.22 / $3,416.47	Professional		$1,101.99	$1,679.22	$3,416.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,729.31 / $2,189.00 / $2,575.30	Professional		$1,729.31	$2,189.00	$2,575.30