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 $1,011.95 / $1,676.10 / $1,749.97	Professional		$1,011.95	$1,676.10	$1,749.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,054.00 / $2,497.02 / $3,121.27	Professional		$2,054.00	$2,497.02	$3,121.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.79 / $1,647.18 / $4,237.18	Professional		$1,031.79	$1,647.18	$4,237.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,749.97 / $2,513.83 / $8,689.00	Facility		$1,749.97	$2,513.83	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,157.49 / $2,191.60 / $8,223.44	Professional		$1,157.49	$2,191.60	$8,223.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,037.50 / $2,488.50 / $3,260.28	Facility		$2,037.50	$2,488.50	$3,260.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,673.27 / $2,473.04 / $3,260.28	Professional		$1,673.27	$2,473.04	$3,260.28
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 $1,104.86 / $1,736.08 / $3,135.73	Professional		$1,104.86	$1,736.08	$3,135.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,722.75 / $2,180.69 / $2,565.50	Professional		$1,722.75	$2,180.69	$2,565.50