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 $1,615.71 / $2,769.45 / $10,028.50	Professional		$1,615.71	$2,769.45	$10,028.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,827.72 / $4,701.10 / $4,946.88	Professional		$3,827.72	$4,701.10	$4,946.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,734.32 / $2,907.64 / $5,522.55	Professional		$1,734.32	$2,907.64	$5,522.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,663.00 / $7,305.00	Facility		$2,950.00	$4,663.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,245.16 / $4,272.39 / $7,510.05	Professional		$2,245.16	$4,272.39	$7,510.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $4,198.20 / $5,426.58	Facility		$3,240.00	$4,198.20	$5,426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $4,198.20 / $5,426.58	Professional		$3,240.00	$4,198.20	$5,426.58
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 $2,032.13 / $3,640.16 / $5,849.00	Professional		$2,032.13	$3,640.16	$5,849.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,922.37 / $3,699.20 / $4,352.00	Professional		$2,922.37	$3,699.20	$4,352.00