Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.35 / $1,496.32 / $1,496.32	Professional		$1,059.35	$1,496.32	$1,496.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,128.50 / $2,386.92 / $2,662.60	Professional		$2,128.50	$2,386.92	$2,662.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $923.39 / $1,487.10 / $2,570.55	Professional		$923.39	$1,487.10	$2,570.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,496.32 / $2,337.00 / $7,305.00	Facility		$1,496.32	$2,337.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,127.10 / $2,241.13 / $3,991.86	Professional		$1,127.10	$2,241.13	$3,991.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,492.60 / $2,183.40 / $2,931.25	Facility		$1,492.60	$2,183.40	$2,931.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,492.60 / $2,183.40 / $2,931.25	Professional		$1,492.60	$2,183.40	$2,931.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.15 / $1,934.88 / $3,057.57	Professional		$1,080.15	$1,934.88	$3,057.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,581.34 / $2,001.70 / $2,355.00	Professional		$1,581.34	$2,001.70	$2,355.00