Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.18 / $1,655.77 / $1,760.37	Professional		$1,007.18	$1,655.77	$1,760.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,992.00 / $2,514.16 / $3,142.69	Professional		$1,992.00	$2,514.16	$3,142.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.18 / $1,636.50 / $3,406.96	Professional		$1,039.18	$1,636.50	$3,406.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,643.24 / $2,528.77 / $8,689.00	Facility		$1,643.24	$2,528.77	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,167.31 / $2,186.05 / $8,279.36	Professional		$1,167.31	$2,186.05	$8,279.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,490.53 / $3,330.23	Facility		$1,992.00	$2,490.53	$3,330.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,656.64 / $2,490.53 / $3,330.23	Professional		$1,656.64	$2,490.53	$3,330.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,234.00 / $9,673.00 / $14,242.22	Facility		$7,234.00	$9,673.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.04 / $1,697.90 / $3,454.49	Professional		$1,114.04	$1,697.90	$3,454.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,734.92 / $2,196.10 / $2,583.60	Professional		$1,734.92	$2,196.10	$2,583.60