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 $958.51 / $1,642.32 / $5,964.30	Professional		$958.51	$1,642.32	$5,964.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,274.96 / $2,843.72 / $2,932.82	Professional		$2,274.96	$2,843.72	$2,932.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.00 / $1,725.67 / $3,450.95	Professional		$1,028.00	$1,725.67	$3,450.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,825.57 / $2,775.52 / $7,305.00	Facility		$1,825.57	$2,775.52	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,340.25 / $2,533.91 / $4,450.05	Professional		$1,340.25	$2,533.91	$4,450.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,830.49 / $2,469.61 / $3,219.19	Facility		$1,830.49	$2,469.61	$3,219.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,830.49 / $2,469.61 / $3,219.19	Professional		$1,830.49	$2,469.61	$3,219.19
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 $1,204.13 / $2,398.29 / $3,408.53	Professional		$1,204.13	$2,398.29	$3,408.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,734.29 / $2,195.30 / $2,582.69	Professional		$1,734.29	$2,195.30	$2,582.69