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 $1,687.15 / $2,881.29 / $10,701.30	Professional		$1,687.15	$2,881.29	$10,701.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,034.96 / $4,610.58 / $5,135.43	Professional		$4,034.96	$4,610.58	$5,135.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,783.93 / $3,237.61 / $5,414.23	Professional		$1,783.93	$3,237.61	$5,414.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,906.06 / $4,579.39 / $7,305.00	Facility		$2,906.06	$4,579.39	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,193.12 / $4,362.26 / $7,767.30	Professional		$2,193.12	$4,362.26	$7,767.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,918.67 / $4,362.26 / $5,670.05	Facility		$2,918.67	$4,362.26	$5,670.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,918.67 / $4,187.75 / $5,670.05	Professional		$2,918.67	$4,187.75	$5,670.05
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 $2,101.73 / $4,201.52 / $5,949.39	Professional		$2,101.73	$4,201.52	$5,949.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,033.13 / $3,839.40 / $4,516.89	Professional		$3,033.13	$3,839.40	$4,516.89