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 $1,145.42 / $1,912.55 / $1,983.24	Professional		$1,145.42	$1,912.55	$1,983.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,355.00 / $2,849.17 / $3,561.46	Professional		$2,355.00	$2,849.17	$3,561.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.43 / $1,887.98 / $4,968.09	Professional		$1,182.43	$1,887.98	$4,968.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,970.77 / $2,848.92 / $8,689.00	Facility		$1,970.77	$2,848.92	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,327.65 / $2,534.60 / $11,680.42	Professional		$1,327.65	$2,534.60	$11,680.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,329.16 / $2,829.58 / $3,781.04	Facility		$2,329.16	$2,829.58	$3,781.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,919.25 / $2,828.95 / $3,781.04	Professional		$1,919.25	$2,828.95	$3,781.04
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 $1,267.30 / $1,931.12 / $3,596.71	Professional		$1,267.30	$1,931.12	$3,596.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,970.66 / $2,494.50 / $2,934.70	Professional		$1,970.66	$2,494.50	$2,934.70