Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,955.00 / $11,668.15	Facility		$4,964.00	$6,955.00	$11,668.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.89 / $1,705.29 / $7,297.59	Professional		$1,144.89	$1,705.29	$7,297.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,448.23 / $3,060.29 / $3,463.66	Professional		$2,448.23	$3,060.29	$3,463.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.96 / $2,047.92 / $3,587.36	Professional		$1,203.96	$2,047.92	$3,587.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,297.11 / $3,472.78 / $43,699.13	Facility		$2,297.11	$3,472.78	$43,699.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,496.86 / $2,833.01 / $8,739.43	Professional		$1,496.86	$2,833.01	$8,739.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,944.74 / $3,018.18 / $3,319.05	Facility		$1,944.74	$3,018.18	$3,319.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,944.74 / $2,800.59 / $3,463.66	Professional		$1,944.74	$2,800.59	$3,463.66
United Facility/Professional Facility Modifier Low / Median / High Price $9,780.00 / $13,193.00 / $19,114.00	Facility		$9,780.00	$13,193.00	$19,114.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,434.49 / $2,660.20 / $3,542.56	Professional		$1,434.49	$2,660.20	$3,542.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,044.76 / $2,588.30 / $3,045.00	Professional		$2,044.76	$2,588.30	$3,045.00