Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,152.06 / $4,604.83 / $8,042.03	Facility		$3,152.06	$4,604.83	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.12 / $6,173.80 / $10,287.24	Professional		$663.12	$6,173.80	$10,287.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.43 / $12,711.36 / $18,356.57	Professional		$1,430.43	$12,711.36	$18,356.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $603.63 / $4,433.43 / $9,934.12	Professional		$603.63	$4,433.43	$9,934.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,558.55 / $11,754.09 / $23,401.23	Facility		$1,558.55	$11,754.09	$23,401.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,736.50 / $14,894.54 / $23,716.47	Professional		$1,736.50	$14,894.54	$23,716.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,582.34 / $11,887.91 / $18,478.61	Facility		$1,582.34	$11,887.91	$18,478.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,403.91 / $12,627.74 / $19,429.99	Professional		$1,403.91	$12,627.74	$19,429.99
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 $7,585.65 / $13,192.44 / $21,472.67	Professional		$7,585.65	$13,192.44	$21,472.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,287.09 / $1,514.30 / $14,543.70	Professional		$1,287.09	$1,514.30	$14,543.70