Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.83 / $1,825.16 / $2,193.77	Professional		$1,066.83	$1,825.16	$2,193.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,309.00 / $2,879.60 / $3,584.83	Professional		$2,309.00	$2,879.60	$3,584.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.19 / $1,908.01 / $5,598.23	Professional		$1,214.19	$1,908.01	$5,598.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,780.55 / $3,046.03 / $11,869.99	Facility		$1,780.55	$3,046.03	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,354.55 / $2,567.38 / $10,045.50	Professional		$1,354.55	$2,567.38	$10,045.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,309.00 / $3,154.44 / $5,874.92	Facility		$2,309.00	$3,154.44	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,019.72 / $2,678.56 / $3,860.47	Professional		$2,019.72	$2,678.56	$3,860.47
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 $1,292.98 / $1,970.26 / $4,008.61	Professional		$1,292.98	$1,970.26	$4,008.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,991.91 / $2,521.40 / $2,966.40	Professional		$1,991.91	$2,521.40	$2,966.40