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 $1,022.55 / $1,740.26 / $6,496.96	Professional		$1,022.55	$1,740.26	$6,496.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,465.07 / $2,762.62 / $3,085.34	Professional		$2,465.07	$2,762.62	$3,085.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,069.29 / $1,831.63 / $3,164.15	Professional		$1,069.29	$1,831.63	$3,164.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,740.26 / $2,762.62 / $7,305.00	Facility		$1,740.26	$2,762.62	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,313.81 / $2,622.31 / $4,653.07	Professional		$1,313.81	$2,622.31	$4,653.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,776.83 / $2,622.31 / $3,424.07	Facility		$1,776.83	$2,622.31	$3,424.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,776.83 / $2,521.82 / $3,424.07	Professional		$1,776.83	$2,521.82	$3,424.07
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 $1,259.07 / $2,546.15 / $3,564.03	Professional		$1,259.07	$2,546.15	$3,564.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,826.48 / $2,312.00 / $2,720.00	Professional		$1,826.48	$2,312.00	$2,720.00