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 $1,603.38 / $2,734.51 / $2,734.51	Professional		$1,603.38	$2,734.51	$2,734.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,858.10 / $4,366.67 / $4,870.02	Professional		$3,858.10	$4,366.67	$4,870.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.31 / $2,877.19 / $3,569.33	Professional		$1,689.31	$2,877.19	$3,569.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,351.78 / $7,305.00	Facility		$2,950.00	$4,351.78	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,068.54 / $4,118.22 / $7,326.07	Professional		$2,068.54	$4,118.22	$7,326.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,750.01 / $4,103.12 / $5,366.60	Facility		$2,750.01	$4,103.12	$5,366.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,750.01 / $3,980.32 / $5,366.60	Professional		$2,750.01	$3,980.32	$5,366.60
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 $1,982.35 / $4,171.55 / $5,611.42	Professional		$1,982.35	$4,171.55	$5,611.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,882.87 / $3,649.20 / $4,293.20	Professional		$2,882.87	$3,649.20	$4,293.20