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 $2,118.17 / $3,618.68 / $13,412.50	Professional		$2,118.17	$3,618.68	$13,412.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,055.58 / $5,747.72 / $6,425.51	Professional		$5,055.58	$5,747.72	$6,425.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,240.84 / $3,537.43 / $4,962.56	Professional		$2,240.84	$3,537.43	$4,962.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,257.00 / $5,523.23 / $7,305.00	Facility		$3,257.00	$5,523.23	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,641.49 / $5,441.08 / $8,701.33	Professional		$2,641.49	$5,441.08	$8,701.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,257.00 / $5,255.42 / $7,116.57	Facility		$3,257.00	$5,255.42	$7,116.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,257.00 / $5,255.42 / $6,519.78	Professional		$3,257.00	$5,255.42	$6,519.78
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 $2,526.65 / $4,956.81 / $7,477.26	Professional		$2,526.65	$4,956.81	$7,477.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,806.38 / $4,818.20 / $5,668.50	Professional		$3,806.38	$4,818.20	$5,668.50