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 $1,776.94 / $3,034.88 / $11,263.70	Professional		$1,776.94	$3,034.88	$11,263.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,247.64 / $4,826.83 / $5,409.27	Professional		$4,247.64	$4,826.83	$5,409.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,879.57 / $3,401.91 / $5,668.02	Professional		$1,879.57	$3,401.91	$5,668.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,034.88 / $4,822.71 / $7,305.00	Facility		$3,034.88	$4,822.71	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,342.00 / $4,594.43 / $8,181.89	Professional		$2,342.00	$4,594.43	$8,181.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,074.36 / $4,594.43 / $5,971.07	Facility		$3,074.36	$4,594.43	$5,971.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,074.36 / $4,411.17 / $5,971.07	Professional		$3,074.36	$4,411.17	$5,971.07
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 $2,213.92 / $4,460.39 / $6,896.66	Professional		$2,213.92	$4,460.39	$6,896.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,194.92 / $4,044.20 / $4,757.89	Professional		$3,194.92	$4,044.20	$4,757.89