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 $1,015.40 / $1,755.94 / $1,951.11	Professional		$1,015.40	$1,755.94	$1,951.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,963.06 / $2,507.14 / $3,133.93	Professional		$1,963.06	$2,507.14	$3,133.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.13 / $1,622.50 / $4,261.01	Professional		$1,036.13	$1,622.50	$4,261.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,755.94 / $2,522.41 / $8,689.00	Facility		$1,755.94	$2,522.41	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,163.91 / $2,179.69 / $8,557.67	Professional		$1,163.91	$2,179.69	$8,557.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,942.00 / $2,356.88 / $3,291.15	Facility		$1,942.00	$2,356.88	$3,291.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,810.00 / $2,356.88 / $3,291.15	Professional		$1,810.00	$2,356.88	$3,291.15
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 $1,111.01 / $1,692.96 / $3,153.14	Professional		$1,111.01	$1,692.96	$3,153.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,729.86 / $2,189.69 / $2,576.10	Professional		$1,729.86	$2,189.69	$2,576.10