Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,119.04 / $11,668.15	Facility		$5,091.00	$7,119.04	$11,668.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.88 / $1,463.55 / $1,774.55	Professional		$997.88	$1,463.55	$1,774.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.00 / $2,492.34 / $3,115.43	Professional		$2,012.00	$2,492.34	$3,115.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.40 / $1,630.49 / $3,483.01	Professional		$1,022.40	$1,630.49	$3,483.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,446.28 / $2,709.43 / $12,342.67	Facility		$1,446.28	$2,709.43	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,138.61 / $2,143.83 / $8,172.08	Professional		$1,138.61	$2,143.83	$8,172.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,026.42 / $2,895.46 / $8,286.75	Facility		$2,026.42	$2,895.46	$8,286.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,638.44 / $2,458.48 / $3,244.55	Professional		$1,638.44	$2,458.48	$3,244.55
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 $1,086.86 / $1,688.89 / $3,084.63	Professional		$1,086.86	$1,688.89	$3,084.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,712.56 / $2,167.80 / $2,550.40	Professional		$1,712.56	$2,167.80	$2,550.40