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 $999.31 / $1,663.93 / $1,727.91	Professional		$999.31	$1,663.93	$1,727.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,006.00 / $2,468.96 / $3,086.21	Professional		$2,006.00	$2,468.96	$3,086.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.78 / $1,627.62 / $3,346.05	Professional		$1,019.78	$1,627.62	$3,346.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,547.58 / $2,482.14 / $8,604.00	Facility		$1,547.58	$2,482.14	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,144.85 / $2,180.17 / $8,128.96	Professional		$1,144.85	$2,180.17	$8,128.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,006.00 / $2,444.67 / $3,259.29	Facility		$2,006.00	$2,444.67	$3,259.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,660.74 / $2,444.67 / $3,259.29	Professional		$1,660.74	$2,444.67	$3,259.29
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 $1,092.82 / $1,665.25 / $3,388.05	Professional		$1,092.82	$1,665.25	$3,388.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,702.92 / $2,155.60 / $2,536.00	Professional		$1,702.92	$2,155.60	$2,536.00