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 $1,326.99 / $2,030.54 / $2,030.54	Professional		$1,326.99	$2,030.54	$2,030.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,867.09 / $3,223.07 / $3,599.37	Professional		$2,867.09	$3,223.07	$3,599.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,248.67 / $2,117.52 / $3,559.28	Professional		$1,248.67	$2,117.52	$3,559.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $3,201.62 / $7,305.00	Facility		$1,966.00	$3,201.62	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,536.68 / $3,058.05 / $5,442.42	Professional		$1,536.68	$3,058.05	$5,442.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,055.59 / $3,023.85 / $3,995.90	Facility		$2,055.59	$3,023.85	$3,995.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,055.59 / $2,940.30 / $3,995.90	Professional		$2,055.59	$2,940.30	$3,995.90
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 $1,472.66 / $2,637.97 / $4,168.64	Professional		$1,472.66	$2,637.97	$4,168.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,129.60 / $2,695.70 / $3,171.40	Professional		$2,129.60	$2,695.70	$3,171.40