Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.07 / $2,222.57 / $2,293.67	Professional		$1,280.07	$2,222.57	$2,293.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,295.54 / $3,253.52 / $4,066.90	Professional		$2,295.54	$3,253.52	$4,066.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,355.73 / $1,877.72 / $4,441.09	Professional		$1,355.73	$1,877.72	$4,441.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,501.43 / $3,312.13 / $12,257.52	Facility		$1,501.43	$3,312.13	$12,257.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,334.80 / $2,697.53 / $10,766.00	Professional		$1,334.80	$2,697.53	$10,766.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,709.95 / $3,237.98 / $4,366.24	Facility		$1,709.95	$3,237.98	$4,366.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,772.00 / $3,237.98 / $3,943.37	Professional		$1,772.00	$3,237.98	$3,943.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,229.65 / $2,129.69 / $4,175.88	Professional		$1,229.65	$2,129.69	$4,175.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,255.53 / $2,855.10 / $3,359.00	Professional		$2,255.53	$2,855.10	$3,359.00