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 $1,433.50 / $2,444.92 / $9,124.79	Professional		$1,433.50	$2,444.92	$9,124.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,449.85 / $3,973.12 / $4,354.79	Professional		$3,449.85	$3,973.12	$4,354.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.63 / $2,745.54 / $4,664.20	Professional		$1,510.63	$2,745.54	$4,664.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,499.76 / $3,892.77 / $7,305.00	Facility		$2,499.76	$3,892.77	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,851.42 / $3,733.70 / $6,557.11	Professional		$1,851.42	$3,733.70	$6,557.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,463.89 / $3,616.87 / $4,730.60	Facility		$2,463.89	$3,616.87	$4,730.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,463.89 / $3,558.92 / $4,730.60	Professional		$2,463.89	$3,558.92	$4,730.60
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 $1,774.28 / $3,573.19 / $5,022.43	Professional		$1,774.28	$3,573.19	$5,022.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,577.69 / $3,262.90 / $3,838.70	Professional		$2,577.69	$3,262.90	$3,838.70