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 $1,993.76 / $3,407.90 / $12,608.20	Professional		$1,993.76	$3,407.90	$12,608.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,743.93 / $5,408.43 / $6,077.01	Professional		$4,743.93	$5,408.43	$6,077.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,111.54 / $3,431.37 / $4,434.97	Professional		$2,111.54	$3,431.37	$4,434.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,407.90 / $5,171.26 / $7,305.00	Facility		$3,407.90	$5,171.26	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,601.67 / $5,132.38 / $9,214.29	Professional		$2,601.67	$5,132.38	$9,214.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,670.61 / $4,944.64 / $6,706.95	Facility		$3,670.61	$4,944.64	$6,706.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,670.61 / $4,944.64 / $6,706.95	Professional		$3,670.61	$4,944.64	$6,706.95
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 $2,493.28 / $4,466.22 / $7,112.08	Professional		$2,493.28	$4,466.22	$7,112.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,581.31 / $4,533.30 / $5,333.30	Professional		$3,581.31	$4,533.30	$5,333.30