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 $1,058.04 / $1,615.64 / $1,615.64	Professional		$1,058.04	$1,615.64	$1,615.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,239.13 / $2,569.87 / $2,885.98	Professional		$2,239.13	$2,569.87	$2,885.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.64 / $1,698.07 / $3,064.79	Professional		$1,011.64	$1,698.07	$3,064.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,917.86 / $2,730.43 / $7,305.00	Facility		$1,917.86	$2,730.43	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,261.20 / $2,433.19 / $4,376.82	Professional		$1,261.20	$2,433.19	$4,376.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,662.93 / $2,356.61 / $3,165.44	Facility		$1,662.93	$2,356.61	$3,165.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,571.00 / $2,356.61 / $3,165.44	Professional		$1,571.00	$2,356.61	$3,165.44
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 $1,184.32 / $2,379.14 / $3,408.77	Professional		$1,184.32	$2,379.14	$3,408.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,706.87 / $2,160.60 / $2,541.80	Professional		$1,706.87	$2,160.60	$2,541.80