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 $1,095.31 / $1,871.29 / $6,887.19	Professional		$1,095.31	$1,871.29	$6,887.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,412.87 / $3,016.09 / $3,337.56	Professional		$2,412.87	$3,016.09	$3,337.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.15 / $1,827.14 / $3,586.10	Professional		$1,087.15	$1,827.14	$3,586.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $2,968.53 / $7,305.00	Facility		$2,263.00	$2,968.53	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,417.68 / $2,818.23 / $5,020.95	Professional		$1,417.68	$2,818.23	$5,020.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,886.67 / $2,803.30 / $3,653.85	Facility		$1,886.67	$2,803.30	$3,653.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,886.67 / $2,627.31 / $3,653.85	Professional		$1,886.67	$2,627.31	$3,653.85
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 $1,358.61 / $2,712.25 / $3,849.81	Professional		$1,358.61	$2,712.25	$3,849.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,835.96 / $2,324.00 / $2,734.20	Professional		$1,835.96	$2,324.00	$2,734.20