Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.92 / $1,518.80 / $4,631.00	Professional		$974.92	$1,518.80	$4,631.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.00 / $2,393.40 / $2,991.74	Professional		$1,983.00	$2,393.40	$2,991.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.78 / $1,588.75 / $3,476.62	Professional		$1,010.78	$1,588.75	$3,476.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,441.77 / $2,626.07 / $11,869.99	Facility		$1,441.77	$2,626.07	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,123.07 / $2,128.27 / $7,918.64	Professional		$1,123.07	$2,128.27	$7,918.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,960.40 / $2,626.07 / $8,248.43	Facility		$1,960.40	$2,626.07	$8,248.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.03 / $2,380.61 / $3,198.96	Professional		$1,659.03	$2,380.61	$3,198.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,868.00 / $12,342.67	Facility		$6,354.00	$8,868.00	$12,342.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,072.02 / $1,633.55 / $3,062.91	Professional		$1,072.02	$1,633.55	$3,062.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,658.37 / $2,099.19 / $2,469.60	Professional		$1,658.37	$2,099.19	$2,469.60