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 $1,051.88 / $1,802.46 / $6,540.43	Professional		$1,051.88	$1,802.46	$6,540.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,495.46 / $3,100.53 / $3,219.86	Professional		$2,495.46	$3,100.53	$3,219.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.82 / $1,893.19 / $3,639.75	Professional		$1,127.82	$1,893.19	$3,639.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,974.14 / $3,017.42 / $7,305.00	Facility		$1,974.14	$3,017.42	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,378.37 / $2,779.71 / $5,102.37	Professional		$1,378.37	$2,779.71	$5,102.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,848.47 / $2,725.96 / $3,531.94	Facility		$1,848.47	$2,725.96	$3,531.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,493.00 / $2,626.63 / $3,531.94	Professional		$1,493.00	$2,626.63	$3,531.94
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 $1,320.94 / $2,631.00 / $3,802.00	Professional		$1,320.94	$2,631.00	$3,802.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,902.40 / $2,408.10 / $2,833.10	Professional		$1,902.40	$2,408.10	$2,833.10