Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.74 / $1,980.57 / $4,168.06	Professional		$1,083.74	$1,980.57	$4,168.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.93 / $2,666.08 / $3,332.60	Professional		$1,733.93	$2,666.08	$3,332.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.30 / $1,759.26 / $2,975.35	Professional		$1,094.30	$1,759.26	$2,975.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,666.80 / $2,826.28 / $13,268.42	Facility		$1,666.80	$2,826.28	$13,268.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $2,128.17 / $4,156.17	Professional		$1,308.77	$2,128.17	$4,156.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,936.00 / $3,667.65 / $5,797.72	Facility		$1,936.00	$3,667.65	$5,797.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,823.13 / $2,381.67 / $3,571.09	Professional		$1,823.13	$2,381.67	$3,571.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,248.14 / $1,707.09 / $3,255.76	Professional		$1,248.14	$1,707.09	$3,255.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,826.64 / $2,312.19 / $2,720.30	Professional		$1,826.64	$2,312.19	$2,720.30