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 $1,159.52 / $1,920.37 / $2,010.68	Professional		$1,159.52	$1,920.37	$2,010.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,248.30 / $2,871.76 / $3,589.70	Professional		$2,248.30	$2,871.76	$3,589.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.00 / $1,825.63 / $3,865.10	Professional		$1,186.00	$1,825.63	$3,865.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,983.15 / $3,135.04 / $20,063.05	Facility		$1,983.15	$3,135.04	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,331.34 / $2,518.61 / $9,454.64	Professional		$1,331.34	$2,518.61	$9,454.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,195.00 / $3,135.04 / $12,675.86	Facility		$2,195.00	$3,135.04	$12,675.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,924.40 / $2,843.51 / $3,781.78	Professional		$1,924.40	$2,843.51	$3,781.78
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 $1,270.83 / $1,936.50 / $3,514.96	Professional		$1,270.83	$1,936.50	$3,514.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,980.77 / $2,507.30 / $2,949.80	Professional		$1,980.77	$2,507.30	$2,949.80