Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.04 / $1,396.54 / $1,791.71	Professional		$890.04	$1,396.54	$1,791.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,966.12 / $2,213.96 / $2,704.45	Professional		$1,966.12	$2,213.96	$2,704.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $932.42 / $1,588.16 / $3,176.64	Professional		$932.42	$1,588.16	$3,176.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,396.54 / $2,422.50 / $11,869.99	Facility		$1,396.54	$2,422.50	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,077.43 / $1,997.74 / $7,371.96	Professional		$1,077.43	$1,997.74	$7,371.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,789.23 / $2,422.50 / $5,874.92	Facility		$1,789.23	$2,422.50	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,626.48 / $2,213.96 / $2,925.85	Professional		$1,626.48	$2,213.96	$2,925.85
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,001.81 / $1,507.73 / $2,884.08	Professional		$1,001.81	$1,507.73	$2,884.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,542.24 / $1,952.20 / $2,296.69	Professional		$1,542.24	$1,952.20	$2,296.69