Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.53 / $2,315.53 / $5,390.00	Professional		$1,233.53	$2,315.53	$5,390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.16 / $3,019.01 / $3,773.77	Professional		$1,566.16	$3,019.01	$3,773.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.95 / $1,661.98 / $3,596.73	Professional		$1,171.95	$1,661.98	$3,596.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,579.31 / $3,407.86 / $9,874.90	Facility		$1,579.31	$3,407.86	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,393.63 / $2,303.71 / $4,238.27	Professional		$1,393.63	$2,303.71	$4,238.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,903.00 / $2,842.76 / $3,649.65	Facility		$1,903.00	$2,842.76	$3,649.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,874.71 / $2,575.30 / $3,649.65	Professional		$1,874.71	$2,575.30	$3,649.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,316.08 / $1,938.96 / $3,488.15	Professional		$1,316.08	$1,938.96	$3,488.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,945.38 / $2,694.30 / $2,897.10	Professional		$1,945.38	$2,694.30	$2,897.10