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 $1,522.80 / $2,594.00 / $9,647.90	Professional		$1,522.80	$2,594.00	$9,647.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,653.20 / $4,566.50 / $4,732.55	Professional		$3,653.20	$4,566.50	$4,732.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,596.37 / $2,882.01 / $4,890.14	Professional		$1,596.37	$2,882.01	$4,890.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,890.30 / $4,089.53 / $7,305.00	Facility		$2,890.30	$4,089.53	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,967.02 / $3,929.48 / $6,966.52	Professional		$1,967.02	$3,929.48	$6,966.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,628.11 / $3,929.48 / $5,105.55	Facility		$2,628.11	$3,929.48	$5,105.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,628.11 / $3,753.97 / $5,105.55	Professional		$2,628.11	$3,753.97	$5,105.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,885.06 / $3,771.26 / $5,392.47	Professional		$1,885.06	$3,771.26	$5,392.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,718.94 / $3,441.70 / $4,049.00	Professional		$2,718.94	$3,441.70	$4,049.00