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 $1,017.98 / $1,634.52 / $1,760.96	Professional		$1,017.98	$1,634.52	$1,760.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.00 / $2,506.36 / $3,132.96	Professional		$2,119.00	$2,506.36	$3,132.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.41 / $1,658.28 / $3,565.01	Professional		$1,038.41	$1,658.28	$3,565.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,760.96 / $2,821.40 / $8,332.67	Facility		$1,760.96	$2,821.40	$8,332.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,167.34 / $2,294.15 / $8,271.92	Professional		$1,167.34	$2,294.15	$8,271.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,049.00 / $2,821.40 / $3,994.63	Facility		$2,049.00	$2,821.40	$3,994.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,664.11 / $2,486.16 / $3,324.67	Professional		$1,664.11	$2,486.16	$3,324.67
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 $1,114.29 / $1,697.97 / $3,183.69	Professional		$1,114.29	$1,697.97	$3,183.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,731.84 / $2,192.19 / $2,579.10	Professional		$1,731.84	$2,192.19	$2,579.10