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 $2,005.58 / $3,427.45 / $12,693.30	Professional		$2,005.58	$3,427.45	$12,693.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,777.43 / $5,441.87 / $6,110.64	Professional		$4,777.43	$5,441.87	$6,110.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,123.53 / $3,450.05 / $4,422.00	Professional		$2,123.53	$3,450.05	$4,422.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,427.45 / $5,201.18 / $7,305.00	Facility		$3,427.45	$5,201.18	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,615.52 / $5,161.83 / $9,263.29	Professional		$2,615.52	$5,161.83	$9,263.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,687.82 / $4,975.22 / $6,746.66	Facility		$3,687.82	$4,975.22	$6,746.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,610.00 / $4,975.22 / $6,746.66	Professional		$3,610.00	$4,975.22	$6,746.66
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 $2,615.52 / $5,051.43 / $7,095.25	Professional		$2,615.52	$5,051.43	$7,095.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,603.43 / $4,561.30 / $5,366.30	Professional		$3,603.43	$4,561.30	$5,366.30