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 $1,104.59 / $1,822.97 / $1,910.79	Professional		$1,104.59	$1,822.97	$1,910.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $2,721.40 / $3,401.75	Professional		$2,280.00	$2,721.40	$3,401.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.38 / $1,800.68 / $4,218.64	Professional		$1,137.38	$1,800.68	$4,218.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,787.31 / $2,757.39 / $8,689.00	Facility		$1,787.31	$2,757.39	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,267.76 / $2,420.27 / $8,976.48	Professional		$1,267.76	$2,420.27	$8,976.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,223.42 / $2,750.03 / $3,596.85	Facility		$2,223.42	$2,750.03	$3,596.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,828.32 / $2,699.39 / $3,596.85	Professional		$1,828.32	$2,699.39	$3,596.85
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 $1,210.14 / $1,844.02 / $3,457.80	Professional		$1,210.14	$1,844.02	$3,457.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,880.44 / $2,380.30 / $2,800.30	Professional		$1,880.44	$2,380.30	$2,800.30