Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.77 / $1,882.17 / $7,037.74	Professional		$1,092.77	$1,882.17	$7,037.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,481.96 / $2,853.46 / $3,356.95	Professional		$2,481.96	$2,853.46	$3,356.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,194.78 / $1,718.93 / $2,482.21	Professional		$1,194.78	$1,718.93	$2,482.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,654.59 / $3,479.28 / $14,428.30	Facility		$1,654.59	$3,479.28	$14,428.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,302.08 / $2,690.12 / $3,973.21	Professional		$1,302.08	$2,690.12	$3,973.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,570.00 / $3,479.28 / $5,661.05	Facility		$1,570.00	$3,479.28	$5,661.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,450.93 / $2,481.96 / $3,479.28	Professional		$1,450.93	$2,481.96	$3,479.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,234.00 / $11,555.00 / $14,242.22	Facility		$7,234.00	$11,555.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,270.67 / $2,630.29 / $3,760.36	Professional		$1,270.67	$2,630.29	$3,760.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,071.06 / $2,621.60 / $3,084.30	Professional		$2,071.06	$2,621.60	$3,084.30