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 $1,052.02 / $1,801.96 / $6,544.27	Professional		$1,052.02	$1,801.96	$6,544.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,499.35 / $3,082.94 / $3,217.46	Professional		$2,499.35	$3,082.94	$3,217.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.72 / $1,893.46 / $3,626.34	Professional		$1,126.72	$1,893.46	$3,626.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,082.94 / $7,305.00	Facility		$2,332.00	$3,082.94	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,467.12 / $2,721.55 / $4,871.31	Professional		$1,467.12	$2,721.55	$4,871.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,841.02 / $2,721.55 / $3,531.47	Facility		$1,841.02	$2,721.55	$3,531.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,841.02 / $2,626.63 / $3,531.47	Professional		$1,841.02	$2,626.63	$3,531.47
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 $1,318.12 / $2,361.15 / $3,793.89	Professional		$1,318.12	$2,361.15	$3,793.89
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