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 $1,030.97 / $1,756.88 / $4,821.00	Professional		$1,030.97	$1,756.88	$4,821.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,490.00 / $2,844.04 / $3,128.58	Professional		$2,490.00	$2,844.04	$3,128.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.94 / $1,851.12 / $2,372.57	Professional		$1,083.94	$1,851.12	$2,372.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,130.59 / $3,277.40 / $19,751.04	Facility		$2,130.59	$3,277.40	$19,751.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,325.86 / $2,645.90 / $4,695.74	Professional		$1,325.86	$2,645.90	$4,695.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,763.74 / $2,637.30 / $3,449.40	Facility		$1,763.74	$2,637.30	$3,449.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,763.74 / $2,559.67 / $3,449.40	Professional		$1,763.74	$2,559.67	$3,449.40
United Facility/Professional Facility Modifier Low / Median / High Price $9,780.00 / $13,193.00 / $19,114.00	Facility		$9,780.00	$13,193.00	$19,114.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,270.60 / $2,543.90 / $3,596.72	Professional		$1,270.60	$2,543.90	$3,596.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,853.89 / $2,346.69 / $2,760.80	Professional		$1,853.89	$2,346.69	$2,760.80