Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,098.00 / $11,100.08	Facility		$4,964.00	$6,098.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.69 / $1,900.84 / $7,196.30	Professional		$1,123.69	$1,900.84	$7,196.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,718.28 / $3,014.15 / $3,397.85	Professional		$2,718.28	$3,014.15	$3,397.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.44 / $1,998.00 / $3,367.39	Professional		$1,147.44	$1,998.00	$3,367.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,900.84 / $3,326.75 / $9,874.90	Facility		$1,900.84	$3,326.75	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,431.37 / $2,861.65 / $4,731.18	Professional		$1,431.37	$2,861.65	$4,731.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,887.35 / $2,814.11 / $3,680.67	Facility		$1,887.35	$2,814.11	$3,680.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,887.35 / $2,716.13 / $3,680.67	Professional		$1,887.35	$2,716.13	$3,680.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,371.73 / $2,717.76 / $3,882.95	Professional		$1,371.73	$2,717.76	$3,882.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,967.26 / $2,490.19 / $2,929.60	Professional		$1,967.26	$2,490.19	$2,929.60