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 $1,263.80 / $2,109.42 / $2,187.42	Professional		$1,263.80	$2,109.42	$2,187.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,435.55 / $3,103.93 / $3,879.92	Professional		$2,435.55	$3,103.93	$3,879.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.38 / $2,060.34 / $5,309.72	Professional		$1,292.38	$2,060.34	$5,309.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,941.50 / $3,152.55 / $8,689.00	Facility		$1,941.50	$3,152.55	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,456.35 / $2,762.00 / $10,697.50	Professional		$1,456.35	$2,762.00	$10,697.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,383.00 / $3,088.04 / $4,123.31	Facility		$2,383.00	$3,088.04	$4,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,107.33 / $3,088.04 / $4,123.31	Professional		$2,107.33	$3,088.04	$4,123.31
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 $1,390.15 / $2,429.09 / $3,945.37	Professional		$1,390.15	$2,429.09	$3,945.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,151.09 / $2,722.90 / $3,203.50	Professional		$2,151.09	$2,722.90	$3,203.50