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 $2,043.97 / $3,492.66 / $12,933.70	Professional		$2,043.97	$3,492.66	$12,933.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,874.05 / $5,666.71 / $6,225.94	Professional		$4,874.05	$5,666.71	$6,225.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,164.41 / $3,662.59 / $4,461.49	Professional		$2,164.41	$3,662.59	$4,461.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,492.66 / $5,378.70 / $7,305.00	Facility		$3,492.66	$5,378.70	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,663.00 / $5,260.03 / $9,431.46	Professional		$2,663.00	$5,260.03	$9,431.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,753.72 / $5,228.47 / $6,838.51	Facility		$3,753.72	$5,228.47	$6,838.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,753.72 / $5,072.74 / $6,838.51	Professional		$3,753.72	$5,072.74	$6,838.51
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 $2,552.05 / $5,099.55 / $7,277.95	Professional		$2,552.05	$5,099.55	$7,277.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,674.05 / $4,650.70 / $5,471.40	Professional		$3,674.05	$4,650.70	$5,471.40