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 $1,125.44 / $1,928.15 / $6,997.65	Professional		$1,125.44	$1,928.15	$6,997.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,673.09 / $3,331.90 / $3,444.44	Professional		$2,673.09	$3,331.90	$3,444.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.43 / $2,026.08 / $3,797.18	Professional		$1,206.43	$2,026.08	$3,797.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,983.15 / $3,071.44 / $7,305.00	Facility		$1,983.15	$3,071.44	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,538.80 / $2,913.96 / $5,214.84	Professional		$1,538.80	$2,913.96	$5,214.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,990.70 / $2,913.96 / $3,777.99	Facility		$1,990.70	$2,913.96	$3,777.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,990.70 / $2,811.49 / $3,777.99	Professional		$1,990.70	$2,811.49	$3,777.99
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 $1,411.07 / $2,834.81 / $4,061.44	Professional		$1,411.07	$2,834.81	$4,061.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,036.30 / $2,577.60 / $3,032.50	Professional		$2,036.30	$2,577.60	$3,032.50