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 $1,702.09 / $2,903.92 / $10,824.90	Professional		$1,702.09	$2,903.92	$10,824.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,091.83 / $4,821.81 / $5,172.67	Professional		$4,091.83	$4,821.81	$5,172.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,796.03 / $3,055.46 / $3,885.74	Professional		$1,796.03	$3,055.46	$3,885.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,937.58 / $4,622.60 / $7,305.00	Facility		$2,937.58	$4,622.60	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,201.65 / $4,373.38 / $7,797.52	Professional		$2,201.65	$4,373.38	$7,797.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,080.22 / $4,326.78 / $5,659.13	Facility		$3,080.22	$4,326.78	$5,659.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,080.22 / $4,227.77 / $5,659.13	Professional		$3,080.22	$4,227.77	$5,659.13
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 $2,109.92 / $4,250.54 / $6,198.39	Professional		$2,109.92	$4,250.54	$6,198.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,062.12 / $3,876.10 / $4,560.10	Professional		$3,062.12	$3,876.10	$4,560.10