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 / $10,506.16	Facility		$4,693.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.33 / $1,762.96 / $4,880.00	Professional		$1,073.33	$1,762.96	$4,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,207.00 / $2,645.04 / $3,306.31	Professional		$2,207.00	$2,645.04	$3,306.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.28 / $1,748.21 / $3,710.18	Professional		$1,101.28	$1,748.21	$3,710.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,856.60 / $2,690.16 / $8,604.00	Facility		$1,856.60	$2,690.16	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.54 / $2,349.21 / $8,723.60	Professional		$1,230.54	$2,349.21	$8,723.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,161.04 / $2,675.44 / $3,499.30	Facility		$2,161.04	$2,675.44	$3,499.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,768.94 / $2,622.24 / $3,499.30	Professional		$1,768.94	$2,622.24	$3,499.30
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 $1,174.59 / $1,789.87 / $3,641.61	Professional		$1,174.59	$1,789.87	$3,641.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,826.64 / $2,312.19 / $2,720.30	Professional		$1,826.64	$2,312.19	$2,720.30