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 $1,174.90 / $1,943.49 / $2,032.95	Professional		$1,174.90	$1,943.49	$2,032.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,375.00 / $2,889.68 / $3,612.10	Professional		$2,375.00	$2,889.68	$3,612.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.68 / $1,987.01 / $4,394.75	Professional		$1,201.68	$1,987.01	$4,394.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,788.43 / $2,920.33 / $8,689.00	Facility		$1,788.43	$2,920.33	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,350.23 / $2,551.69 / $9,545.36	Professional		$1,350.23	$2,551.69	$9,545.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,363.96 / $2,868.98 / $3,839.59	Facility		$2,363.96	$2,868.98	$3,839.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,948.54 / $2,868.98 / $3,839.59	Professional		$1,948.54	$2,868.98	$3,839.59
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 $1,288.84 / $1,963.97 / $3,657.89	Professional		$1,288.84	$1,963.97	$3,657.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,998.54 / $2,529.80 / $2,976.20	Professional		$1,998.54	$2,529.80	$2,976.20