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 $1,137.03 / $1,864.02 / $2,744.32	Professional		$1,137.03	$1,864.02	$2,744.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,264.00 / $2,836.70 / $3,545.88	Professional		$2,264.00	$2,836.70	$3,545.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.84 / $1,850.14 / $4,721.81	Professional		$1,165.84	$1,850.14	$4,721.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,785.06 / $3,086.01 / $20,063.05	Facility		$1,785.06	$3,086.01	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,302.19 / $2,447.05 / $9,307.52	Professional		$1,302.19	$2,447.05	$9,307.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $3,086.01 / $16,941.31	Facility		$2,264.00	$3,086.01	$16,941.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,871.07 / $2,801.30 / $3,706.86	Professional		$1,871.07	$2,801.30	$3,706.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,234.00 / $10,188.00 / $14,479.00	Facility		$7,234.00	$10,188.00	$14,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,243.00 / $1,934.56 / $3,749.01	Professional		$1,243.00	$1,934.56	$3,749.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,951.38 / $2,470.10 / $2,906.00	Professional		$1,951.38	$2,470.10	$2,906.00