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 $1,128.66 / $1,850.34 / $1,953.39	Professional		$1,128.66	$1,850.34	$1,953.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,186.00 / $2,775.93 / $3,469.92	Professional		$2,186.00	$2,775.93	$3,469.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.57 / $1,776.84 / $4,261.01	Professional		$1,153.57	$1,776.84	$4,261.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,926.87 / $2,806.04 / $8,689.00	Facility		$1,926.87	$2,806.04	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,300.08 / $2,430.90 / $9,168.87	Professional		$1,300.08	$2,430.90	$9,168.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,186.00 / $2,758.34 / $3,705.48	Facility		$2,186.00	$2,758.34	$3,705.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,855.86 / $2,758.34 / $3,408.47	Professional		$1,855.86	$2,758.34	$3,408.47
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 $1,240.98 / $1,891.02 / $3,522.03	Professional		$1,240.98	$1,891.02	$3,522.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,921.44 / $2,432.19 / $2,861.40	Professional		$1,921.44	$2,432.19	$2,861.40