Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.51 / $2,234.10 / $4,760.00	Professional		$1,190.51	$2,234.10	$4,760.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.18 / $2,899.81 / $3,624.76	Professional		$1,476.18	$2,899.81	$3,624.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.27 / $1,592.57 / $3,535.49	Professional		$1,121.27	$1,592.57	$3,535.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,546.45 / $3,196.26 / $9,874.90	Facility		$1,546.45	$3,196.26	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,345.01 / $2,290.55 / $4,240.95	Professional		$1,345.01	$2,290.55	$4,240.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,811.00 / $2,706.78 / $3,540.27	Facility		$1,811.00	$2,706.78	$3,540.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,760.84 / $2,479.67 / $3,540.27	Professional		$1,760.84	$2,479.67	$3,540.27
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 $1,295.32 / $1,884.10 / $3,532.68	Professional		$1,295.32	$1,884.10	$3,532.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,865.66 / $2,583.90 / $2,778.40	Professional		$1,865.66	$2,583.90	$2,778.40