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 $948.28 / $1,615.25 / $4,464.00	Professional		$948.28	$1,615.25	$4,464.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,296.01 / $2,576.01 / $2,875.17	Professional		$2,296.01	$2,576.01	$2,875.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $996.88 / $1,704.26 / $2,267.64	Professional		$996.88	$1,704.26	$2,267.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $2,580.07 / $7,305.00	Facility		$1,966.00	$2,580.07	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,217.58 / $2,432.60 / $4,312.26	Professional		$1,217.58	$2,432.60	$4,312.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,621.20 / $2,425.19 / $3,172.02	Facility		$1,621.20	$2,425.19	$3,172.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.20 / $2,356.61 / $3,172.02	Professional		$1,621.20	$2,356.61	$3,172.02
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 $1,166.84 / $2,336.98 / $3,302.99	Professional		$1,166.84	$2,336.98	$3,302.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,706.87 / $2,160.60 / $2,541.80	Professional		$1,706.87	$2,160.60	$2,541.80