Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,964.00 / $8,042.03	Facility		$3,468.00	$4,964.00	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.14 / $4,288.39 / $7,218.83	Professional		$427.14	$4,288.39	$7,218.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.43 / $1,135.54 / $12,844.44	Professional		$908.43	$1,135.54	$12,844.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.31 / $5,034.29 / $7,118.08	Professional		$390.31	$5,034.29	$7,118.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,001.18 / $10,073.04 / $20,992.43	Facility		$1,001.18	$10,073.04	$20,992.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,126.42 / $10,423.70 / $16,790.84	Professional		$1,126.42	$10,423.70	$16,790.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,017.88 / $9,681.29 / $13,144.24	Facility		$1,017.88	$9,681.29	$13,144.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $920.57 / $8,480.35 / $13,465.75	Professional		$920.57	$8,480.35	$13,465.75
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,284.12 / $10,576.08 / $14,957.75	Professional		$5,284.12	$10,576.08	$14,957.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $832.70 / $979.70 / $10,187.70	Professional		$832.70	$979.70	$10,187.70