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 $1,039.49 / $1,575.42 / $1,822.18	Professional		$1,039.49	$1,575.42	$1,822.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,060.16 / $2,639.59 / $3,299.49	Professional		$2,060.16	$2,639.59	$3,299.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.08 / $1,625.24 / $3,556.58	Professional		$1,038.08	$1,625.24	$3,556.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,674.76 / $2,773.89 / $7,896.02	Facility		$1,674.76	$2,773.89	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $2,361.11 / $8,573.52	Professional		$1,180.56	$2,361.11	$8,573.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,077.00 / $2,612.98 / $3,535.20	Facility		$2,077.00	$2,612.98	$3,535.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,652.98 / $2,412.77 / $3,535.20	Professional		$1,652.98	$2,412.77	$3,535.20
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 $1,180.06 / $1,798.94 / $3,350.53	Professional		$1,180.06	$1,798.94	$3,350.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,729.86 / $2,189.69 / $2,576.10	Professional		$1,729.86	$2,189.69	$2,576.10