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 $2,191.19 / $3,749.14 / $13,802.50	Professional		$2,191.19	$3,749.14	$13,802.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,191.14 / $5,944.57 / $6,677.72	Professional		$5,191.14	$5,944.57	$6,677.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,399.48 / $3,785.75 / $9,273.60	Professional		$2,399.48	$3,785.75	$9,273.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,018.28 / $5,434.45 / $7,305.00	Facility		$3,018.28	$5,434.45	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,937.69 / $5,790.89 / $9,328.37	Professional		$2,937.69	$5,790.89	$9,328.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,546.46 / $5,700.95 / $7,777.46	Facility		$4,546.46	$5,700.95	$7,777.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,386.71 / $5,700.95 / $7,777.46	Professional		$4,386.71	$5,700.95	$7,777.46
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 $2,871.52 / $4,785.85 / $7,917.09	Professional		$2,871.52	$4,785.85	$7,917.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,936.10 / $4,982.39 / $5,861.60	Professional		$3,936.10	$4,982.39	$5,861.60