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 $1,633.72 / $2,789.95 / $10,363.29	Professional		$1,633.72	$2,789.95	$10,363.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,907.97 / $4,433.71 / $4,973.30	Professional		$3,907.97	$4,433.71	$4,973.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,727.19 / $2,882.15 / $3,674.80	Professional		$1,727.19	$2,882.15	$3,674.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,589.79 / $4,296.52 / $7,305.00	Facility		$2,589.79	$4,296.52	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,122.84 / $4,201.72 / $7,518.38	Professional		$2,122.84	$4,201.72	$7,518.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,825.39 / $4,107.64 / $5,488.66	Facility		$2,825.39	$4,107.64	$5,488.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,825.39 / $4,055.29 / $5,488.66	Professional		$2,825.39	$4,055.29	$5,488.66
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 $2,034.38 / $4,099.21 / $5,758.72	Professional		$2,034.38	$4,099.21	$5,758.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,937.14 / $3,717.90 / $4,374.00	Professional		$2,937.14	$3,717.90	$4,374.00