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 $2,195.96 / $3,210.27 / $3,210.27	Professional		$2,195.96	$3,210.27	$3,210.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,472.03 / $5,095.28 / $5,723.92	Professional		$4,472.03	$5,095.28	$5,723.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,989.35 / $3,363.41 / $5,664.89	Professional		$1,989.35	$3,363.41	$5,664.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,804.76 / $4,685.28 / $7,305.00	Facility		$2,804.76	$4,685.28	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,450.44 / $4,834.72 / $8,678.67	Professional		$2,450.44	$4,834.72	$8,678.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,456.95 / $4,659.35 / $6,318.03	Facility		$3,456.95	$4,659.35	$6,318.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,456.95 / $4,659.35 / $6,318.03	Professional		$3,456.95	$4,659.35	$6,318.03
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 $2,422.40 / $4,834.72 / $6,844.58	Professional		$2,422.40	$4,834.72	$6,844.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,374.64 / $4,271.70 / $5,025.60	Professional		$3,374.64	$4,271.70	$5,025.60