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 $1,137.61 / $1,949.35 / $7,071.10	Professional		$1,137.61	$1,949.35	$7,071.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,700.36 / $3,375.45 / $3,482.87	Professional		$2,700.36	$3,375.45	$3,482.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.59 / $2,047.42 / $4,014.25	Professional		$1,219.59	$2,047.42	$4,014.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $3,388.29 / $7,305.00	Facility		$2,337.00	$3,388.29	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,562.80 / $2,942.22 / $5,274.42	Professional		$1,562.80	$2,942.22	$5,274.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,991.22 / $2,942.22 / $3,819.29	Facility		$1,991.22	$2,942.22	$3,819.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,991.22 / $2,877.31 / $3,819.29	Professional		$1,991.22	$2,877.31	$3,819.29
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 $1,427.20 / $2,866.92 / $4,107.84	Professional		$1,427.20	$2,866.92	$4,107.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,057.87 / $2,604.90 / $3,064.60	Professional		$2,057.87	$2,604.90	$3,064.60