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 $1,568.44 / $2,677.83 / $9,956.17	Professional		$1,568.44	$2,677.83	$9,956.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,753.70 / $4,405.63 / $4,772.74	Professional		$3,753.70	$4,405.63	$4,772.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,656.43 / $3,015.78 / $5,101.92	Professional		$1,656.43	$3,015.78	$5,101.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,885.80 / $4,254.18 / $7,305.00	Facility		$2,885.80	$4,254.18	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,035.63 / $4,081.97 / $7,209.53	Professional		$2,035.63	$4,081.97	$7,209.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,854.52 / $4,047.36 / $5,271.71	Facility		$2,854.52	$4,047.36	$5,271.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,854.52 / $3,891.53 / $5,271.71	Professional		$2,854.52	$3,891.53	$5,271.71
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 $1,950.81 / $3,494.50 / $5,522.16	Professional		$1,950.81	$3,494.50	$5,522.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,818.56 / $3,567.80 / $4,197.39	Professional		$2,818.56	$3,567.80	$4,197.39