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 $1,257.42 / $2,141.42 / $7,962.92	Professional		$1,257.42	$2,141.42	$7,962.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,016.68 / $3,397.73 / $3,796.33	Professional		$3,016.68	$3,397.73	$3,796.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,316.72 / $2,227.52 / $3,768.43	Professional		$1,316.72	$2,227.52	$3,768.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,457.00 / $3,396.00 / $7,305.00	Facility		$2,457.00	$3,396.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,620.79 / $3,198.25 / $5,470.51	Professional		$1,620.79	$3,198.25	$5,470.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,156.04 / $3,178.48 / $4,183.10	Facility		$2,156.04	$3,178.48	$4,183.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,156.04 / $3,098.23 / $4,183.10	Professional		$2,156.04	$3,098.23	$4,183.10
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 $1,620.79 / $3,268.60 / $4,396.80	Professional		$1,620.79	$3,268.60	$4,396.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,244.00 / $2,840.50 / $3,341.70	Professional		$2,244.00	$2,840.50	$3,341.70