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 $1,235.44 / $1,925.42 / $2,480.81	Professional		$1,235.44	$1,925.42	$2,480.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,484.30 / $3,029.92 / $3,787.40	Professional		$2,484.30	$3,029.92	$3,787.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.42 / $2,014.47 / $5,725.14	Professional		$1,265.42	$2,014.47	$5,725.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,822.20 / $3,328.98 / $11,869.99	Facility		$1,822.20	$3,328.98	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,427.83 / $2,707.78 / $10,776.75	Professional		$1,427.83	$2,707.78	$10,776.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,478.00 / $3,328.98 / $5,874.92	Facility		$2,478.00	$3,328.98	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,103.69 / $3,019.64 / $4,066.96	Professional		$2,103.69	$3,019.64	$4,066.96
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 $1,362.93 / $2,076.85 / $3,894.09	Professional		$1,362.93	$2,076.85	$3,894.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,103.44 / $2,662.60 / $3,132.50	Professional		$2,103.44	$2,662.60	$3,132.50