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 $977.33 / $1,674.71 / $6,077.54	Professional		$977.33	$1,674.71	$6,077.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,319.38 / $2,899.23 / $2,991.67	Professional		$2,319.38	$2,899.23	$2,991.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.96 / $1,842.27 / $3,424.13	Professional		$1,048.96	$1,842.27	$3,424.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,010.16 / $2,830.26 / $7,305.00	Facility		$2,010.16	$2,830.26	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,366.12 / $2,528.83 / $4,535.93	Professional		$1,366.12	$2,528.83	$4,535.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,743.35 / $2,528.83 / $3,280.99	Facility		$1,743.35	$2,528.83	$3,280.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,743.35 / $2,443.21 / $3,280.99	Professional		$1,743.35	$2,443.21	$3,280.99
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 $1,227.36 / $2,444.48 / $3,532.70	Professional		$1,227.36	$2,444.48	$3,532.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,769.60 / $2,240.00 / $2,635.20	Professional		$1,769.60	$2,240.00	$2,635.20