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 $1,101.96 / $1,790.27 / $1,905.24	Professional		$1,101.96	$1,790.27	$1,905.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,215.00 / $2,724.51 / $3,405.64	Professional		$2,215.00	$2,724.51	$3,405.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.42 / $1,794.36 / $3,682.37	Professional		$1,124.42	$1,794.36	$3,682.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,702.89 / $2,754.46 / $8,604.00	Facility		$1,702.89	$2,754.46	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,262.68 / $2,407.40 / $10,751.99	Professional		$1,262.68	$2,407.40	$10,751.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,215.00 / $2,696.49 / $3,602.64	Facility		$2,215.00	$2,696.49	$3,602.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,790.76 / $2,696.49 / $3,602.64	Professional		$1,790.76	$2,696.49	$3,602.64
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 $1,205.28 / $1,880.01 / $3,420.71	Professional		$1,205.28	$1,880.01	$3,420.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,878.38 / $2,377.69 / $2,797.30	Professional		$1,878.38	$2,377.69	$2,797.30