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 $1,043.77 / $1,788.53 / $6,489.99	Professional		$1,043.77	$1,788.53	$6,489.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,476.76 / $2,845.00 / $3,194.64	Professional		$2,476.76	$2,845.00	$3,194.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.70 / $1,879.18 / $3,262.64	Professional		$1,119.70	$1,879.18	$3,262.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,879.60 / $2,941.26 / $7,305.00	Facility		$1,879.60	$2,941.26	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,367.88 / $2,693.58 / $4,725.10	Professional		$1,367.88	$2,693.58	$4,725.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,830.73 / $2,607.71 / $3,504.76	Facility		$1,830.73	$2,607.71	$3,504.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,580.73 / $2,607.71 / $3,264.78	Professional		$1,580.73	$2,607.71	$3,264.78
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 $1,310.89 / $2,236.38 / $3,773.07	Professional		$1,310.89	$2,236.38	$3,773.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,888.73 / $2,390.80 / $2,812.70	Professional		$1,888.73	$2,390.80	$2,812.70