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 $1,756.88 / $3,000.45 / $11,142.40	Professional		$1,756.88	$3,000.45	$11,142.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,200.13 / $4,768.85 / $5,346.81	Professional		$4,200.13	$4,768.85	$5,346.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.05 / $2,932.14 / $6,090.24	Professional		$1,858.05	$2,932.14	$6,090.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,657.12 / $4,621.79 / $7,305.00	Facility		$2,657.12	$4,621.79	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,284.56 / $4,545.82 / $9,455.21	Professional		$2,284.56	$4,545.82	$9,455.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,041.47 / $4,360.95 / $5,905.11	Facility		$3,041.47	$4,360.95	$5,905.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,041.47 / $4,360.95 / $5,905.11	Professional		$3,041.47	$4,360.95	$5,905.11
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 $2,094.17 / $4,376.67 / $6,252.33	Professional		$2,094.17	$4,376.67	$6,252.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,158.58 / $3,998.20 / $4,703.70	Professional		$3,158.58	$3,998.20	$4,703.70