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 $2,492.54 / $4,256.97 / $15,784.00	Professional		$2,492.54	$4,256.97	$15,784.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,959.34 / $6,765.23 / $7,586.66	Professional		$5,959.34	$6,765.23	$7,586.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,636.74 / $4,162.08 / $7,451.31	Professional		$2,636.74	$4,162.08	$7,451.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,256.97 / $6,479.87 / $7,856.00	Facility		$4,256.97	$6,479.87	$7,856.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,238.00 / $6,411.10 / $11,467.90	Professional		$3,238.00	$6,411.10	$11,467.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,298.72 / $6,345.68 / $8,364.62	Facility		$4,298.72	$6,345.68	$8,364.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,838.00 / $6,188.45 / $7,959.92	Professional		$3,838.00	$6,188.45	$7,959.92
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 $3,103.08 / $5,558.56 / $8,783.87	Professional		$3,103.08	$5,558.56	$8,783.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,482.14 / $5,673.60 / $6,674.90	Professional		$4,482.14	$5,673.60	$6,674.90