Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $6,298.62 / $12,885.00	Facility		$3,496.00	$6,298.62	$12,885.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,374.28 / $1,999.02 / $1,999.02	Professional		$1,374.28	$1,999.02	$1,999.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.04 / $3,133.60 / $3,545.33	Professional		$2,772.04	$3,133.60	$3,545.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.91 / $1,886.58 / $4,343.04	Professional		$1,258.91	$1,886.58	$4,343.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,617.34 / $3,078.49 / $7,305.00	Facility		$1,617.34	$3,078.49	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,532.17 / $3,089.88 / $4,775.52	Professional		$1,532.17	$3,089.88	$4,775.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,005.62 / $3,057.35 / $3,950.49	Facility		$2,005.62	$3,057.35	$3,950.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,264.13 / $2,855.24 / $4,148.41	Professional		$2,264.13	$2,855.24	$4,148.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,468.33 / $2,967.79 / $4,156.39	Professional		$1,468.33	$2,967.79	$4,156.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,011.50 / $2,546.19 / $2,995.60	Professional		$2,011.50	$2,546.19	$2,995.60