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 $1,428.07 / $1,570.88 / $2,165.52	Professional		$1,428.07	$1,570.88	$2,165.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,062.64 / $3,546.89 / $3,856.39	Professional		$3,062.64	$3,546.89	$3,856.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.02 / $2,428.94 / $4,164.87	Professional		$1,337.02	$2,428.94	$4,164.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,554.09 / $3,448.66 / $7,305.00	Facility		$2,554.09	$3,448.66	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,655.60 / $3,299.86 / $5,795.22	Professional		$1,655.60	$3,299.86	$5,795.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,179.14 / $3,252.80 / $4,254.46	Facility		$2,179.14	$3,252.80	$4,254.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,179.14 / $3,153.53 / $4,254.46	Professional		$2,179.14	$3,153.53	$4,254.46
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 $1,568.12 / $3,159.82 / $4,646.12	Professional		$1,568.12	$3,159.82	$4,646.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,284.05 / $2,891.20 / $3,401.40	Professional		$2,284.05	$2,891.20	$3,401.40