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 $929.86 / $1,586.05 / $1,586.05	Professional		$929.86	$1,586.05	$1,586.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,215.76 / $2,519.21 / $2,800.31	Professional		$2,215.76	$2,519.21	$2,800.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.68 / $1,581.27 / $3,041.28	Professional		$1,016.68	$1,581.27	$3,041.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,586.05 / $2,800.31 / $7,305.00	Facility		$1,586.05	$2,800.31	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,231.60 / $2,483.73 / $3,856.09	Professional		$1,231.60	$2,483.73	$3,856.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,802.64 / $2,410.04 / $3,292.23	Facility		$1,802.64	$2,410.04	$3,292.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,802.64 / $2,519.21 / $3,292.23	Professional		$1,802.64	$2,519.21	$3,292.23
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 $1,231.60 / $2,364.26 / $3,397.19	Professional		$1,231.60	$2,364.26	$3,397.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,658.37 / $2,099.19 / $2,469.60	Professional		$1,658.37	$2,099.19	$2,469.60