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 $2,085.37 / $3,563.25 / $13,202.30	Professional		$2,085.37	$3,563.25	$13,202.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,975.33 / $5,659.77 / $6,352.04	Professional		$4,975.33	$5,659.77	$6,352.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,208.82 / $3,737.92 / $6,729.81	Professional		$2,208.82	$3,737.92	$6,729.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,486.83 / $5,487.41 / $7,305.00	Facility		$3,486.83	$5,487.41	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,717.33 / $5,403.72 / $11,545.26	Professional		$2,717.33	$5,403.72	$11,545.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,829.71 / $5,177.54 / $7,011.64	Facility		$3,829.71	$5,177.54	$7,011.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,829.71 / $5,177.54 / $7,011.64	Professional		$3,829.71	$5,177.54	$7,011.64
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 $2,490.88 / $5,203.54 / $7,371.43	Professional		$2,490.88	$5,203.54	$7,371.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,749.97 / $4,746.80 / $5,584.50	Professional		$3,749.97	$4,746.80	$5,584.50