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 $1,626.12 / $2,787.49 / $10,096.00	Professional		$1,626.12	$2,787.49	$10,096.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,851.87 / $4,808.37 / $4,818.05	Professional		$3,851.87	$4,808.37	$4,818.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,745.57 / $2,767.61 / $5,123.84	Professional		$1,745.57	$2,767.61	$5,123.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,590.78 / $4,376.05 / $7,305.00	Facility		$2,590.78	$4,376.05	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,260.46 / $4,304.99 / $8,259.95	Professional		$2,260.46	$4,304.99	$8,259.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,878.48 / $4,226.18 / $5,461.93	Facility		$2,878.48	$4,226.18	$5,461.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,699.97 / $4,061.09 / $5,461.93	Professional		$2,699.97	$4,061.09	$5,461.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $6,110.41 / $7,305.00	Facility		$2,126.00	$6,110.41	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,134.69 / $3,691.56 / $5,888.23	Professional		$2,134.69	$3,691.56	$5,888.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,941.41 / $3,723.30 / $4,380.30	Professional		$2,941.41	$3,723.30	$4,380.30