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 $2,948.93 / $5,031.10 / $18,693.80	Professional		$2,948.93	$5,031.10	$18,693.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,019.69 / $7,967.01 / $8,774.61	Professional		$7,019.69	$7,967.01	$8,774.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,224.66 / $5,023.43 / $11,828.48	Professional		$3,224.66	$5,023.43	$11,828.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $6,572.00 / $8,650.52	Facility		$2,950.00	$6,572.00	$8,650.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,903.39 / $7,778.07 / $12,492.86	Professional		$3,903.39	$7,778.07	$12,492.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,045.39 / $7,594.31 / $10,414.78	Facility		$6,045.39	$7,594.31	$10,414.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,045.39 / $7,631.15 / $10,414.78	Professional		$6,045.39	$7,631.15	$10,414.78
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 $3,696.19 / $7,411.12 / $10,557.01	Professional		$3,696.19	$7,411.12	$10,557.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,261.80 / $6,660.50 / $7,835.90	Professional		$5,261.80	$6,660.50	$7,835.90