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 $1,011.37 / $1,575.67 / $1,880.08	Professional		$1,011.37	$1,575.67	$1,880.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,053.00 / $2,482.98 / $3,103.74	Professional		$2,053.00	$2,482.98	$3,103.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.73 / $1,648.45 / $3,385.60	Professional		$1,034.73	$1,648.45	$3,385.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,520.57 / $2,724.75 / $11,869.99	Facility		$1,520.57	$2,724.75	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,165.22 / $2,208.54 / $8,216.16	Professional		$1,165.22	$2,208.54	$8,216.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,034.02 / $2,724.75 / $7,716.84	Facility		$2,034.02	$2,724.75	$7,716.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,730.53 / $2,470.14 / $3,321.84	Professional		$1,730.53	$2,470.14	$3,321.84
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 $1,112.25 / $1,694.86 / $3,448.31	Professional		$1,112.25	$1,694.86	$3,448.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,720.70 / $2,178.10 / $2,562.50	Professional		$1,720.70	$2,178.10	$2,562.50