Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.47 / $1,474.21 / $1,622.53	Professional		$743.47	$1,474.21	$1,622.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.00 / $2,529.73 / $3,162.17	Professional		$1,604.00	$2,529.73	$3,162.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.73 / $1,606.87 / $3,030.50	Professional		$1,111.73	$1,606.87	$3,030.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,542.51 / $2,434.66 / $5,023.00	Facility		$1,542.51	$2,434.66	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,116.96 / $2,058.32 / $9,520.27	Professional		$1,116.96	$2,058.32	$9,520.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,604.00 / $2,315.19 / $3,317.01	Facility		$1,604.00	$2,315.19	$3,317.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,346.51 / $2,264.78 / $3,246.27	Professional		$1,346.51	$2,264.78	$3,246.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $4,645.00 / $6,267.00	Facility		$2,559.00	$4,645.00	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,069.58 / $1,711.34 / $3,208.77	Professional		$1,069.58	$1,711.34	$3,208.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,860.13 / $2,354.60 / $2,770.10	Professional		$1,860.13	$2,354.60	$2,770.10