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 $1,060.53 / $1,992.81 / $1,992.81	Professional		$1,060.53	$1,992.81	$1,992.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,615.44 / $2,615.44 / $3,269.30	Professional		$2,615.44	$2,615.44	$3,269.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.02 / $1,449.74 / $2,284.82	Professional		$1,027.02	$1,449.74	$2,284.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,458.67 / $3,068.93 / $10,320.00	Facility		$1,458.67	$3,068.93	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,279.27 / $2,293.17 / $3,914.25	Professional		$1,279.27	$2,293.17	$3,914.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,757.00 / $2,656.64 / $3,455.96	Facility		$1,757.00	$2,656.64	$3,455.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,554.74 / $2,386.41 / $3,455.96	Professional		$1,554.74	$2,386.41	$3,455.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $11,051.00	Facility		$5,341.00	$6,588.00	$11,051.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.67 / $1,753.97 / $3,257.21	Professional		$1,187.67	$1,753.97	$3,257.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,692.89 / $2,344.60 / $2,521.00	Professional		$1,692.89	$2,344.60	$2,521.00