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 $1,768.71 / $2,885.41 / $2,885.41	Professional		$1,768.71	$2,885.41	$2,885.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,027.95 / $4,582.68 / $5,143.84	Professional		$4,027.95	$4,582.68	$5,143.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.54 / $3,025.98 / $5,078.93	Professional		$1,787.54	$3,025.98	$5,078.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,443.53 / $7,305.00	Facility		$2,950.00	$4,443.53	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,200.21 / $4,345.50 / $7,792.46	Professional		$2,200.21	$4,345.50	$7,792.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,099.97 / $4,326.43 / $5,680.69	Facility		$3,099.97	$4,326.43	$5,680.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,099.97 / $4,190.64 / $5,680.69	Professional		$3,099.97	$4,190.64	$5,680.69
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 $2,177.81 / $4,345.50 / $6,068.95	Professional		$2,177.81	$4,345.50	$6,068.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,035.18 / $3,842.00 / $4,520.00	Professional		$3,035.18	$3,842.00	$4,520.00