Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.30 / $1,901.79 / $4,014.00	Professional		$1,012.30	$1,901.79	$4,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.14 / $2,479.10 / $3,098.87	Professional		$1,286.14	$2,479.10	$3,098.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $970.76 / $1,371.68 / $3,058.30	Professional		$970.76	$1,371.68	$3,058.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,447.41 / $2,893.45 / $8,868.00	Facility		$1,447.41	$2,893.45	$8,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,183.47 / $1,951.38 / $3,535.47	Professional		$1,183.47	$1,951.38	$3,535.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,587.00 / $2,185.76 / $2,885.98	Facility		$1,587.00	$2,185.76	$2,885.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,587.00 / $2,118.67 / $3,026.20	Professional		$1,587.00	$2,118.67	$3,026.20
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 $1,129.02 / $1,646.56 / $3,023.43	Professional		$1,129.02	$1,646.56	$3,023.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,602.75 / $2,219.69 / $2,386.80	Professional		$1,602.75	$2,219.69	$2,386.80