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 $1,131.40 / $1,927.99 / $7,219.36	Professional		$1,131.40	$1,927.99	$7,219.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,733.08 / $3,072.21 / $3,432.44	Professional		$2,733.08	$3,072.21	$3,432.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.63 / $2,008.16 / $2,667.55	Professional		$1,189.63	$2,008.16	$2,667.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $3,072.21 / $7,305.00	Facility		$2,126.00	$3,072.21	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,455.00 / $2,897.09 / $5,153.13	Professional		$1,455.00	$2,897.09	$5,153.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,937.76 / $2,832.74 / $3,789.21	Facility		$1,937.76	$2,832.74	$3,789.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,937.76 / $2,809.28 / $3,789.21	Professional		$1,937.76	$2,809.28	$3,789.21
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 $1,394.38 / $2,808.87 / $4,013.38	Professional		$1,394.38	$2,808.87	$4,013.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,034.72 / $2,575.60 / $3,030.10	Professional		$2,034.72	$2,575.60	$3,030.10