Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.82 / $1,766.15 / $1,833.07	Professional		$1,058.82	$1,766.15	$1,833.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,196.00 / $2,601.41 / $3,251.77	Professional		$2,196.00	$2,601.41	$3,251.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.65 / $1,800.68 / $4,682.08	Professional		$1,098.65	$1,800.68	$4,682.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,833.07 / $2,642.51 / $8,689.00	Facility		$1,833.07	$2,642.51	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,221.24 / $2,331.46 / $8,589.84	Professional		$1,221.24	$2,331.46	$8,589.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,126.39 / $2,622.93 / $3,471.63	Facility		$2,126.39	$2,622.93	$3,471.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,769.43 / $2,587.32 / $3,471.63	Professional		$1,769.43	$2,587.32	$3,471.63
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 $1,165.73 / $1,776.35 / $3,351.13	Professional		$1,165.73	$1,776.35	$3,351.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,802.31 / $2,281.40 / $2,684.00	Professional		$1,802.31	$2,281.40	$2,684.00