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 $1,542.91 / $2,632.15 / $9,811.04	Professional		$1,542.91	$2,632.15	$9,811.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,709.30 / $4,282.43 / $4,688.67	Professional		$3,709.30	$4,282.43	$4,688.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,627.45 / $2,960.19 / $5,029.41	Professional		$1,627.45	$2,960.19	$5,029.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,188.18 / $7,305.00	Facility		$2,950.00	$4,188.18	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,994.11 / $4,021.46 / $7,062.48	Professional		$1,994.11	$4,021.46	$7,062.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,654.21 / $3,968.34 / $5,179.00	Facility		$2,654.21	$3,968.34	$5,179.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,654.21 / $3,831.84 / $5,179.00	Professional		$2,654.21	$3,831.84	$5,179.00
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 $1,911.02 / $3,850.04 / $5,409.53	Professional		$1,911.02	$3,850.04	$5,409.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,775.35 / $3,513.10 / $4,133.00	Professional		$2,775.35	$3,513.10	$4,133.00