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 $1,255.36 / $2,147.34 / $7,849.03	Professional		$1,255.36	$2,147.34	$7,849.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,954.35 / $3,618.55 / $3,831.17	Professional		$2,954.35	$3,618.55	$3,831.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.38 / $2,229.83 / $4,159.33	Professional		$1,322.38	$2,229.83	$4,159.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,504.46 / $3,503.73 / $7,305.00	Facility		$2,504.46	$3,503.73	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,663.60 / $3,261.99 / $5,782.08	Professional		$1,663.60	$3,261.99	$5,782.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,187.63 / $3,261.99 / $4,186.52	Facility		$2,187.63	$3,261.99	$4,186.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.63 / $3,089.50 / $4,186.52	Professional		$2,187.63	$3,089.50	$4,186.52
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 $1,564.56 / $2,802.61 / $4,503.22	Professional		$1,564.56	$2,802.61	$4,503.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,237.67 / $2,832.50 / $3,332.30	Professional		$2,237.67	$2,832.50	$3,332.30