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 $1,286.50 / $2,005.15 / $2,374.71	Professional		$1,286.50	$2,005.15	$2,374.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,586.92 / $3,153.02 / $3,941.27	Professional		$2,586.92	$3,153.02	$3,941.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.10 / $2,097.51 / $4,603.43	Professional		$1,318.10	$2,097.51	$4,603.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,805.31 / $3,466.99 / $11,869.99	Facility		$1,805.31	$3,466.99	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,488.51 / $2,822.50 / $11,055.60	Professional		$1,488.51	$2,822.50	$11,055.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $3,466.99 / $5,874.92	Facility		$2,537.00	$3,466.99	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,175.34 / $3,144.08 / $4,244.22	Professional		$2,175.34	$3,144.08	$4,244.22
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 $1,420.85 / $2,165.10 / $4,059.57	Professional		$1,420.85	$2,165.10	$4,059.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,190.19 / $2,772.40 / $3,261.60	Professional		$2,190.19	$2,772.40	$3,261.60