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 $1,060.00 / $1,816.52 / $6,592.13	Professional		$1,060.00	$1,816.52	$6,592.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,513.38 / $2,888.59 / $3,245.07	Professional		$2,513.38	$2,888.59	$3,245.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.58 / $1,801.09 / $4,243.20	Professional		$1,136.58	$1,801.09	$4,243.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,816.52 / $3,306.40 / $13,882.69	Facility		$1,816.52	$3,306.40	$13,882.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,390.31 / $2,751.86 / $5,315.36	Professional		$1,390.31	$2,751.86	$5,315.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,861.46 / $2,647.90 / $3,560.20	Facility		$1,861.46	$2,647.90	$3,560.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,861.46 / $2,646.27 / $3,560.20	Professional		$1,861.46	$2,646.27	$3,560.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,352.46 / $2,677.42 / $3,834.93	Professional		$1,352.46	$2,677.42	$3,834.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,916.62 / $2,426.10 / $2,854.30	Professional		$1,916.62	$2,426.10	$2,854.30