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 $1,159.13 / $1,974.79 / $7,405.66	Professional		$1,159.13	$1,974.79	$7,405.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,807.10 / $3,148.10 / $3,516.50	Professional		$2,807.10	$3,148.10	$3,516.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.34 / $2,084.05 / $3,434.37	Professional		$1,219.34	$2,084.05	$3,434.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,173.00 / $3,148.10 / $7,305.00	Facility		$2,173.00	$3,148.10	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,488.95 / $2,964.73 / $5,273.36	Professional		$1,488.95	$2,964.73	$5,273.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,983.59 / $2,933.32 / $3,877.67	Facility		$1,983.59	$2,933.32	$3,877.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,983.59 / $2,882.07 / $3,877.67	Professional		$1,983.59	$2,882.07	$3,877.67
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 $1,426.91 / $2,874.04 / $4,205.72	Professional		$1,426.91	$2,874.04	$4,205.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,087.42 / $2,642.30 / $3,108.60	Professional		$2,087.42	$2,642.30	$3,108.60