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 $989.60 / $1,857.87 / $4,014.00	Professional		$989.60	$1,857.87	$4,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.68 / $2,431.57 / $3,039.46	Professional		$1,234.68	$2,431.57	$3,039.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $944.71 / $1,312.85 / $3,027.68	Professional		$944.71	$1,312.85	$3,027.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,272.43 / $2,789.93 / $9,874.90	Facility		$1,272.43	$2,789.93	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,092.89 / $1,865.33 / $3,247.93	Professional		$1,092.89	$1,865.33	$3,247.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,459.00 / $2,454.03 / $3,174.08	Facility		$1,459.00	$2,454.03	$3,174.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,335.00 / $2,069.84 / $2,825.93	Professional		$1,335.00	$2,069.84	$2,825.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,799.00 / $9,874.90	Facility		$4,700.00	$7,799.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.28 / $1,544.70 / $3,142.80	Professional		$1,050.28	$1,544.70	$3,142.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,567.36 / $2,170.69 / $2,334.10	Professional		$1,567.36	$2,170.69	$2,334.10