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 $1,336.05 / $1,867.45 / $2,707.12	Professional		$1,336.05	$1,867.45	$2,707.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,585.83 / $2,969.37 / $3,335.16	Professional		$2,585.83	$2,969.37	$3,335.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.58 / $1,962.13 / $3,580.55	Professional		$1,169.58	$1,962.13	$3,580.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $2,969.37 / $7,305.00	Facility		$2,337.00	$2,969.37	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,494.00 / $2,812.43 / $5,059.58	Professional		$1,494.00	$2,812.43	$5,059.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,919.02 / $2,806.33 / $3,659.29	Facility		$1,919.02	$2,806.33	$3,659.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,919.02 / $2,723.42 / $3,659.29	Professional		$1,919.02	$2,723.42	$3,659.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,369.06 / $2,750.59 / $3,940.52	Professional		$1,369.06	$2,750.59	$3,940.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,972.47 / $2,496.80 / $2,937.50	Professional		$1,972.47	$2,496.80	$2,937.50