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 $2,034.63 / $3,474.26 / $12,896.50	Professional		$2,034.63	$3,474.26	$12,896.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,867.04 / $5,538.49 / $6,191.11	Professional		$4,867.04	$5,538.49	$6,191.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,150.42 / $3,647.37 / $4,409.02	Professional		$2,150.42	$3,647.37	$4,409.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,474.26 / $5,350.36 / $7,305.00	Facility		$3,474.26	$5,350.36	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,641.42 / $5,253.04 / $9,355.02	Professional		$2,641.42	$5,253.04	$9,355.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,512.40 / $5,253.04 / $6,836.68	Facility		$3,512.40	$5,253.04	$6,836.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,512.40 / $5,049.45 / $6,836.68	Professional		$3,512.40	$5,049.45	$6,836.68
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 $2,627.60 / $5,326.84 / $7,165.50	Professional		$2,627.60	$5,326.84	$7,165.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,657.23 / $4,629.39 / $5,446.30	Professional		$3,657.23	$4,629.39	$5,446.30