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 $1,181.57 / $1,995.68 / $2,079.21	Professional		$1,181.57	$1,995.68	$2,079.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,095.11 / $3,160.81 / $3,951.01	Professional		$2,095.11	$3,160.81	$3,951.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,316.92 / $1,824.00 / $4,621.17	Professional		$1,316.92	$1,824.00	$4,621.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,314.59 / $3,033.87 / $6,034.22	Facility		$1,314.59	$3,033.87	$6,034.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,320.08 / $2,589.59 / $11,054.14	Professional		$1,320.08	$2,589.59	$11,054.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,796.00 / $2,256.42 / $3,562.35	Facility		$1,796.00	$2,256.42	$3,562.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,661.00 / $3,018.22 / $3,614.62	Professional		$1,661.00	$3,018.22	$3,614.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,257.22 / $2,011.55 / $3,746.52	Professional		$1,257.22	$2,011.55	$3,746.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,191.14 / $2,773.60 / $3,263.10	Professional		$2,191.14	$2,773.60	$3,263.10