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 $1,665.94 / $2,855.99 / $10,336.00	Professional		$1,665.94	$2,855.99	$10,336.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,944.58 / $4,897.26 / $5,103.01	Professional		$3,944.58	$4,897.26	$5,103.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,788.62 / $2,997.79 / $5,742.10	Professional		$1,788.62	$2,997.79	$5,742.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,641.10 / $7,305.00	Facility		$2,950.00	$4,641.10	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,288.40 / $4,323.77 / $7,742.52	Professional		$2,288.40	$4,323.77	$7,742.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,053.57 / $4,323.77 / $5,595.73	Facility		$3,053.57	$4,323.77	$5,595.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,053.57 / $4,260.89 / $5,595.73	Professional		$3,053.57	$4,260.89	$5,595.73
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 $2,088.58 / $4,171.28 / $6,030.06	Professional		$2,088.58	$4,171.28	$6,030.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,013.61 / $3,814.70 / $4,487.80	Professional		$3,013.61	$3,814.70	$4,487.80