Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,056.83 / $1,743.05 / $1,827.89	Professional		$1,056.83	$1,743.05	$1,827.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,255.77 / $2,603.75 / $3,254.69	Professional		$2,255.77	$2,603.75	$3,254.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.97 / $1,722.38 / $3,701.22	Professional		$1,096.97	$1,722.38	$3,701.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,827.89 / $3,046.98 / $14,242.22	Facility		$1,827.89	$3,046.98	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,221.19 / $2,384.31 / $8,810.18	Professional		$1,221.19	$2,384.31	$8,810.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,128.37 / $3,065.81 / $8,332.41	Facility		$2,128.37	$3,065.81	$8,332.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,747.06 / $2,582.96 / $3,449.53	Professional		$1,747.06	$2,582.96	$3,449.53
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $11,555.00 / $18,346.22	Facility		$8,220.00	$11,555.00	$18,346.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.98 / $1,763.02 / $3,305.67	Professional		$1,156.98	$1,763.02	$3,305.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,799.30 / $2,277.60 / $2,679.50	Professional		$1,799.30	$2,277.60	$2,679.50