Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,598.21 / $2,688.66 / $2,766.36	Professional		$1,598.21	$2,688.66	$2,766.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,487.53 / $3,987.95 / $4,904.43	Professional		$3,487.53	$3,987.95	$4,904.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,633.48 / $2,677.07 / $5,723.48	Professional		$1,633.48	$2,677.07	$5,723.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,942.52 / $3,994.80 / $5,941.76	Facility		$1,942.52	$3,994.80	$5,941.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,914.18 / $3,721.30 / $16,814.83	Professional		$1,914.18	$3,721.30	$16,814.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,351.40 / $3,578.00 / $4,760.22	Facility		$1,351.40	$3,578.00	$4,760.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,716.55 / $3,994.80 / $5,250.37	Professional		$2,716.55	$3,994.80	$5,250.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,758.25 / $2,739.05 / $5,427.99	Professional		$1,758.25	$2,739.05	$5,427.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,718.47 / $3,441.10 / $4,048.30	Professional		$2,718.47	$3,441.10	$4,048.30