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 $1,519.94 / $2,595.09 / $9,649.75	Professional		$1,519.94	$2,595.09	$9,649.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,639.96 / $4,214.52 / $4,623.82	Professional		$3,639.96	$4,214.52	$4,623.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,606.87 / $2,726.26 / $3,255.88	Professional		$1,606.87	$2,726.26	$3,255.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,214.52 / $7,305.00	Facility		$2,950.00	$4,214.52	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,974.30 / $3,914.67 / $6,992.31	Professional		$1,974.30	$3,914.67	$6,992.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,627.09 / $3,914.67 / $5,107.21	Facility		$2,627.09	$3,914.67	$5,107.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,627.09 / $3,774.35 / $5,107.21	Professional		$2,627.09	$3,774.35	$5,107.21
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 $1,892.04 / $3,782.84 / $5,355.78	Professional		$1,892.04	$3,782.84	$5,355.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,733.72 / $3,460.40 / $4,071.00	Professional		$2,733.72	$3,460.40	$4,071.00