Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.90 / $1,413.34 / $1,590.30	Professional		$1,088.90	$1,413.34	$1,590.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,066.48 / $2,533.80 / $2,867.96	Professional		$2,066.48	$2,533.80	$2,867.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $993.26 / $1,601.30 / $2,936.78	Professional		$993.26	$1,601.30	$2,936.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,917.65 / $2,867.96 / $27,598.19	Facility		$1,917.65	$2,867.96	$27,598.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,223.15 / $2,305.61 / $7,101.88	Professional		$1,223.15	$2,305.61	$7,101.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,575.39 / $2,428.73 / $2,724.08	Facility		$1,575.39	$2,428.73	$2,724.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,482.00 / $2,304.32 / $2,867.96	Professional		$1,482.00	$2,304.32	$2,867.96
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.18 / $2,186.96 / $3,178.25	Professional		$1,172.18	$2,186.96	$3,178.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,701.58 / $2,153.90 / $2,534.00	Professional		$1,701.58	$2,153.90	$2,534.00