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 $1,256.65 / $2,357.69 / $5,390.00	Professional		$1,256.65	$2,357.69	$5,390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,531.91 / $3,067.32 / $3,834.15	Professional		$1,531.91	$3,067.32	$3,834.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.48 / $1,682.46 / $3,550.80	Professional		$1,183.48	$1,682.46	$3,550.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,600.75 / $3,592.17 / $9,874.90	Facility		$1,600.75	$3,592.17	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,373.88 / $2,336.57 / $4,191.14	Professional		$1,373.88	$2,336.57	$4,191.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,090.62 / $4,023.04	Facility		$1,883.00	$3,090.62	$4,023.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,847.38 / $2,619.48 / $3,600.89	Professional		$1,847.38	$2,619.48	$3,600.89
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 $1,335.53 / $1,821.18 / $3,642.36	Professional		$1,335.53	$1,821.18	$3,642.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,971.76 / $2,730.80 / $2,936.40	Professional		$1,971.76	$2,730.80	$2,936.40