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 $1,773.95 / $3,029.92 / $11,242.20	Professional		$1,773.95	$3,029.92	$11,242.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,240.64 / $4,813.22 / $5,400.86	Professional		$4,240.64	$4,813.22	$5,400.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.13 / $3,045.92 / $3,676.97	Professional		$1,876.13	$3,045.92	$3,676.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,029.92 / $4,732.22 / $7,305.00	Facility		$3,029.92	$4,732.22	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,305.63 / $4,563.13 / $8,165.78	Professional		$2,305.63	$4,563.13	$8,165.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,068.85 / $4,403.16 / $5,960.94	Facility		$3,068.85	$4,403.16	$5,960.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,068.85 / $4,403.16 / $5,960.94	Professional		$3,068.85	$4,403.16	$5,960.94
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 $2,209.56 / $3,958.00 / $6,254.60	Professional		$2,209.56	$3,958.00	$6,254.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,189.15 / $4,036.90 / $4,749.30	Professional		$3,189.15	$4,036.90	$4,749.30