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 $1,114.79 / $1,899.66 / $7,113.08	Professional		$1,114.79	$1,899.66	$7,113.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,695.69 / $3,082.94 / $3,381.99	Professional		$2,695.69	$3,082.94	$3,381.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.13 / $2,003.43 / $3,614.27	Professional		$1,173.13	$2,003.43	$3,614.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,085.57 / $3,027.67 / $7,305.00	Facility		$2,085.57	$3,027.67	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,433.27 / $2,890.42 / $5,076.16	Professional		$1,433.27	$2,890.42	$5,076.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,908.44 / $2,843.57 / $3,719.20	Facility		$1,908.44	$2,843.57	$3,719.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,908.44 / $2,773.00 / $3,719.20	Professional		$1,908.44	$2,773.00	$3,719.20
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 $1,373.55 / $2,750.16 / $3,888.10	Professional		$1,373.55	$2,750.16	$3,888.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,006.76 / $2,540.19 / $2,988.50	Professional		$2,006.76	$2,540.19	$2,988.50