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 $2,265.52 / $3,862.72 / $14,290.20	Professional		$2,265.52	$3,862.72	$14,290.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,410.07 / $6,122.16 / $6,871.58	Professional		$5,410.07	$6,122.16	$6,871.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,379.92 / $4,051.12 / $6,847.29	Professional		$2,379.92	$4,051.12	$6,847.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,862.72 / $5,918.03 / $7,397.89	Facility		$3,862.72	$5,918.03	$7,397.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,936.50 / $5,817.35 / $10,400.09	Professional		$2,936.50	$5,817.35	$10,400.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,920.22 / $5,681.81 / $7,603.66	Facility		$3,920.22	$5,681.81	$7,603.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,456.00 / $5,582.21 / $7,127.39	Professional		$3,456.00	$5,582.21	$7,127.39
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 $2,814.14 / $5,624.34 / $7,968.35	Professional		$2,814.14	$5,624.34	$7,968.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,043.06 / $5,117.80 / $6,020.90	Professional		$4,043.06	$5,117.80	$6,020.90