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 $1,499.43 / $2,559.98 / $9,516.93	Professional		$1,499.43	$2,559.98	$9,516.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,590.87 / $4,069.68 / $4,562.57	Professional		$3,590.87	$4,069.68	$4,562.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.47 / $2,689.08 / $4,163.84	Professional		$1,584.47	$2,689.08	$4,163.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,768.00 / $3,942.38 / $7,305.00	Facility		$2,768.00	$3,942.38	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,945.81 / $3,855.40 / $6,891.42	Professional		$1,945.81	$3,855.40	$6,891.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,587.76 / $3,722.67 / $5,038.33	Facility		$2,587.76	$3,722.67	$5,038.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,587.76 / $3,722.67 / $5,038.33	Professional		$2,587.76	$3,722.67	$5,038.33
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 $1,864.74 / $3,340.31 / $5,278.50	Professional		$1,864.74	$3,340.31	$5,278.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,696.27 / $3,413.00 / $4,015.30	Professional		$2,696.27	$3,413.00	$4,015.30