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 $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,458.06 / $2,816.39 / $3,072.58	Professional		$2,458.06	$2,816.39	$3,072.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.24 / $1,557.35 / $1,919.58	Professional		$1,038.24	$1,557.35	$1,919.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $3,054.97 / $7,305.00	Facility		$1,966.00	$3,054.97	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,990.35 / $2,064.92 / $2,833.14	Professional		$1,990.35	$2,064.92	$2,833.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,273.96 / $2,833.14 / $2,833.14	Facility		$2,273.96	$2,833.14	$2,833.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,064.92 / $2,212.69 / $2,833.14	Professional		$2,064.92	$2,212.69	$2,833.14
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,663.11 / $2,105.19 / $2,476.69	Professional		$1,663.11	$2,105.19	$2,476.69