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 $1,544.50 / $2,635.09 / $9,819.70	Professional		$1,544.50	$2,635.09	$9,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,711.63 / $4,287.46 / $4,694.67	Professional		$3,711.63	$4,287.46	$4,694.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.12 / $2,962.56 / $5,034.57	Professional		$1,629.12	$2,962.56	$5,034.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,701.22 / $4,192.83 / $7,305.00	Facility		$2,701.22	$4,192.83	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,997.34 / $4,005.85 / $7,073.91	Professional		$1,997.34	$4,005.85	$7,073.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,657.61 / $3,973.40 / $5,185.35	Facility		$2,657.61	$3,973.40	$5,185.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,657.61 / $3,834.77 / $5,185.35	Professional		$2,657.61	$3,834.77	$5,185.35
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 $1,914.12 / $4,027.97 / $5,418.28	Professional		$1,914.12	$4,027.97	$5,418.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,777.40 / $3,515.70 / $4,136.20	Professional		$2,777.40	$3,515.70	$4,136.20