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 $1,000.84 / $1,714.78 / $6,576.29	Professional		$1,000.84	$1,714.78	$6,576.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,376.26 / $2,954.69 / $3,079.91	Professional		$2,376.26	$2,954.69	$3,079.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.18 / $1,801.87 / $3,468.49	Professional		$1,073.18	$1,801.87	$3,468.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,878.47 / $2,909.10 / $7,305.00	Facility		$1,878.47	$2,909.10	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,367.08 / $2,727.55 / $4,872.68	Professional		$1,367.08	$2,727.55	$4,872.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,822.89 / $2,697.35 / $3,361.02	Facility		$1,822.89	$2,697.35	$3,361.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $2,537.26 / $3,361.02	Professional		$1,420.00	$2,537.26	$3,361.02
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 $1,310.10 / $2,346.81 / $3,708.54	Professional		$1,310.10	$2,346.81	$3,708.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,810.68 / $2,292.00 / $2,696.50	Professional		$1,810.68	$2,292.00	$2,696.50