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 $1,419.51 / $2,394.61 / $2,469.71	Professional		$1,419.51	$2,394.61	$2,469.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,747.40 / $3,498.94 / $4,373.67	Professional		$2,747.40	$3,498.94	$4,373.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.24 / $2,250.16 / $7,089.33	Professional		$1,460.24	$2,250.16	$7,089.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,253.27 / $3,547.74 / $8,689.00	Facility		$2,253.27	$3,547.74	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,649.19 / $3,138.56 / $15,183.90	Professional		$1,649.19	$3,138.56	$15,183.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,572.00 / $3,485.41 / $4,705.83	Facility		$2,572.00	$3,485.41	$4,705.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,365.00 / $3,485.41 / $4,407.80	Professional		$2,365.00	$3,485.41	$4,407.80
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 $1,574.22 / $2,398.82 / $4,362.04	Professional		$1,574.22	$2,398.82	$4,362.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,427.91 / $3,073.30 / $3,615.70	Professional		$2,427.91	$3,073.30	$3,615.70