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 $1,301.79 / $2,442.48 / $5,390.00	Professional		$1,301.79	$2,442.48	$5,390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,588.37 / $3,177.17 / $3,971.46	Professional		$1,588.37	$3,177.17	$3,971.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.36 / $1,743.18 / $3,666.90	Professional		$1,226.36	$1,743.18	$3,666.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,658.56 / $3,488.14 / $9,874.90	Facility		$1,658.56	$3,488.14	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,415.34 / $2,375.41 / $4,331.08	Professional		$1,415.34	$2,375.41	$4,331.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,945.00 / $2,856.67 / $3,721.87	Facility		$1,945.00	$2,856.67	$3,721.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,911.36 / $2,713.86 / $3,721.87	Professional		$1,911.36	$2,713.86	$3,721.87
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 $1,369.41 / $2,001.70 / $3,717.98	Professional		$1,369.41	$2,001.70	$3,717.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,043.02 / $2,829.50 / $3,042.50	Professional		$2,043.02	$2,829.50	$3,042.50