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 $2,081.07 / $3,549.32 / $13,142.00	Professional		$2,081.07	$3,549.32	$13,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,917.05 / $5,126.60 / $6,295.35	Professional		$4,917.05	$5,126.60	$6,295.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.96 / $3,427.27 / $5,968.94	Professional		$2,187.96	$3,427.27	$5,968.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,835.16 / $5,465.95 / $7,305.00	Facility		$2,835.16	$5,465.95	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,593.63 / $5,246.08 / $9,585.15	Professional		$2,593.63	$5,246.08	$9,585.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,621.22 / $5,126.60 / $6,987.25	Facility		$3,621.22	$5,126.60	$6,987.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,824.90 / $4,917.05 / $6,387.71	Professional		$2,824.90	$4,917.05	$6,387.71
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 $2,480.86 / $5,246.08 / $7,341.78	Professional		$2,480.86	$5,246.08	$7,341.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,713.08 / $4,700.10 / $5,529.50	Professional		$3,713.08	$4,700.10	$5,529.50