Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.56 / $3,094.42 / $3,198.94	Professional		$1,726.56	$3,094.42	$3,198.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,282.29 / $4,514.88 / $5,643.61	Professional		$3,282.29	$4,514.88	$5,643.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.68 / $2,517.92 / $6,170.39	Professional		$1,550.68	$2,517.92	$6,170.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $4,293.27 / $8,689.00	Facility		$1,387.75	$4,293.27	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,615.37 / $3,647.29 / $14,998.96	Professional		$1,615.37	$3,647.29	$14,998.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,393.84 / $4,511.60 / $6,119.36	Facility		$2,393.84	$4,511.60	$6,119.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,070.77 / $4,107.85 / $5,514.36	Professional		$2,070.77	$4,107.85	$5,514.36
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,419.77 / $2,925.63 / $5,623.27	Professional		$1,419.77	$2,925.63	$5,623.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,142.78 / $3,978.20 / $4,680.20	Professional		$3,142.78	$3,978.20	$4,680.20