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 $1,100.90 / $1,874.11 / $6,980.37	Professional		$1,100.90	$1,874.11	$6,980.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,645.82 / $2,972.88 / $3,321.94	Professional		$2,645.82	$2,972.88	$3,321.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.09 / $1,969.24 / $3,293.11	Professional		$1,151.09	$1,969.24	$3,293.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,184.00 / $2,972.88 / $7,305.00	Facility		$2,184.00	$2,972.88	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,416.06 / $2,818.39 / $4,863.52	Professional		$1,416.06	$2,818.39	$4,863.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,860.39 / $2,796.27 / $3,686.26	Facility		$1,860.39	$2,796.27	$3,686.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,860.39 / $2,711.77 / $3,686.26	Professional		$1,860.39	$2,711.77	$3,686.26
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 $1,357.06 / $2,739.73 / $3,841.42	Professional		$1,357.06	$2,739.73	$3,841.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,964.10 / $2,486.19 / $2,924.90	Professional		$1,964.10	$2,486.19	$2,924.90