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 $1,260.70 / $2,159.92 / $4,103.85	Professional		$1,260.70	$2,159.92	$4,103.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,992.52 / $3,740.65 / $3,848.68	Professional		$2,992.52	$3,740.65	$3,848.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.52 / $2,141.32 / $4,131.84	Professional		$1,351.52	$2,141.32	$4,131.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.80 / $3,436.68 / $7,305.00	Facility		$2,000.80	$3,436.68	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,745.19 / $3,331.44 / $6,377.09	Professional		$1,745.19	$3,331.44	$6,377.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,278.61 / $3,370.85 / $4,233.97	Facility		$2,278.61	$3,370.85	$4,233.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,094.27 / $3,148.45 / $4,233.97	Professional		$2,094.27	$3,148.45	$4,233.97
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 $1,583.12 / $3,153.10 / $4,556.64	Professional		$1,583.12	$3,153.10	$4,556.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,280.34 / $2,886.50 / $3,395.90	Professional		$2,280.34	$2,886.50	$3,395.90