Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,906.40 / $6,882.00 / $11,611.47	Facility		$3,906.40	$6,882.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.74 / $1,356.20 / $4,163.00	Professional		$1,092.74	$1,356.20	$4,163.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.19 / $2,692.57 / $3,365.71	Professional		$1,527.19	$2,692.57	$3,365.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $855.54 / $1,217.96 / $3,235.65	Professional		$855.54	$1,217.96	$3,235.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,472.59 / $3,324.67 / $11,495.00	Facility		$1,472.59	$3,324.67	$11,495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,298.73 / $2,187.63 / $3,995.48	Professional		$1,298.73	$2,187.63	$3,995.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,205.23 / $3,141.50 / $4,188.66	Facility		$2,205.23	$3,141.50	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,789.00 / $2,550.92 / $3,551.90	Professional		$1,789.00	$2,550.92	$3,551.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $13,238.00	Facility		$7,221.00	$8,060.00	$13,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,242.26 / $1,806.93 / $3,387.99	Professional		$1,242.26	$1,806.93	$3,387.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,745.66 / $2,417.69 / $2,599.69	Professional		$1,745.66	$2,417.69	$2,599.69