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 $917.42 / $1,329.42 / $1,631.25	Professional		$917.42	$1,329.42	$1,631.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,865.00 / $2,329.51 / $2,911.89	Professional		$1,865.00	$2,329.51	$2,911.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $960.98 / $1,533.71 / $3,584.39	Professional		$960.98	$1,533.71	$3,584.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,510.43 / $2,329.15 / $8,604.00	Facility		$1,510.43	$2,329.15	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,077.54 / $2,017.93 / $8,447.06	Professional		$1,077.54	$2,017.93	$8,447.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,865.00 / $2,323.34 / $3,038.78	Facility		$1,865.00	$2,323.34	$3,038.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,363.42 / $2,097.56 / $3,038.78	Professional		$1,363.42	$2,097.56	$3,038.78
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 $1,028.56 / $1,567.33 / $2,919.15	Professional		$1,028.56	$1,567.33	$2,919.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,605.60 / $2,032.40 / $2,391.10	Professional		$1,605.60	$2,032.40	$2,391.10