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 $1,701.84 / $2,908.22 / $10,772.80	Professional		$1,701.84	$2,908.22	$10,772.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,055.22 / $4,639.52 / $5,184.68	Professional		$4,055.22	$4,639.52	$5,184.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.48 / $3,048.20 / $4,082.53	Professional		$1,801.48	$3,048.20	$4,082.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,622.52 / $7,305.00	Facility		$2,950.00	$4,622.52	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,218.90 / $4,412.13 / $7,858.59	Professional		$2,218.90	$4,412.13	$7,858.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,950.55 / $4,412.13 / $5,725.39	Facility		$2,950.55	$4,412.13	$5,725.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,950.55 / $4,221.22 / $5,725.39	Professional		$2,950.55	$4,221.22	$5,725.39
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 $2,126.44 / $4,284.88 / $6,038.43	Professional		$2,126.44	$4,284.88	$6,038.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,057.30 / $3,870.00 / $4,553.00	Professional		$3,057.30	$3,870.00	$4,553.00