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 $1,139.90 / $2,140.36 / $4,014.00	Professional		$1,139.90	$2,140.36	$4,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,446.09 / $2,793.07 / $3,491.34	Professional		$1,446.09	$2,793.07	$3,491.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.74 / $1,540.60 / $3,369.62	Professional		$1,087.74	$1,540.60	$3,369.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,462.46 / $3,028.92 / $9,874.90	Facility		$1,462.46	$3,028.92	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,284.84 / $2,099.71 / $3,854.92	Professional		$1,284.84	$2,099.71	$3,854.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,731.00 / $2,655.55 / $3,260.96	Facility		$1,731.00	$2,655.55	$3,260.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,585.00 / $2,335.38 / $3,260.96	Professional		$1,585.00	$2,335.38	$3,260.96
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 $1,207.02 / $1,796.54 / $3,368.52	Professional		$1,207.02	$1,796.54	$3,368.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,801.44 / $2,494.90 / $2,682.70	Professional		$1,801.44	$2,494.90	$2,682.70