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 $1,397.86 / $2,395.67 / $8,683.43	Professional		$1,397.86	$2,395.67	$8,683.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,313.51 / $4,043.53 / $4,279.13	Professional		$3,313.51	$4,043.53	$4,279.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.45 / $2,515.41 / $4,747.77	Professional		$1,499.45	$2,515.41	$4,747.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,806.75 / $4,048.70 / $7,305.00	Facility		$2,806.75	$4,048.70	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.04 / $3,696.14 / $6,491.15	Professional		$1,949.04	$3,696.14	$6,491.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,806.75 / $3,628.27 / $4,692.76	Facility		$2,806.75	$3,628.27	$4,692.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,805.00 / $3,628.27 / $4,692.76	Professional		$2,805.00	$3,628.27	$4,692.76
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 $1,756.43 / $3,146.30 / $5,055.46	Professional		$1,756.43	$3,146.30	$5,055.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,528.08 / $3,200.10 / $3,764.90	Professional		$2,528.08	$3,200.10	$3,764.90