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 $1,137.66 / $1,948.70 / $7,078.12	Professional		$1,137.66	$1,948.70	$7,078.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,705.81 / $3,101.15 / $3,480.48	Professional		$2,705.81	$3,101.15	$3,480.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.92 / $2,049.76 / $3,673.55	Professional		$1,219.92	$2,049.76	$3,673.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,948.70 / $3,101.15 / $7,305.00	Facility		$1,948.70	$3,101.15	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,510.60 / $2,933.07 / $5,268.56	Professional		$1,510.60	$2,933.07	$5,268.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,009.71 / $2,844.23 / $3,815.68	Facility		$2,009.71	$2,844.23	$3,815.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,846.00 / $2,844.23 / $3,815.68	Professional		$1,846.00	$2,844.23	$3,815.68
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 $1,425.61 / $2,553.69 / $4,103.27	Professional		$1,425.61	$2,553.69	$4,103.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,060.00 / $2,607.60 / $3,067.80	Professional		$2,060.00	$2,607.60	$3,067.80