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 $1,511.33 / $2,590.34 / $9,389.99	Professional		$1,511.33	$2,590.34	$9,389.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,581.52 / $4,470.56 / $4,573.43	Professional		$3,581.52	$4,470.56	$4,573.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.56 / $2,570.28 / $6,019.84	Professional		$1,621.56	$2,570.28	$6,019.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,406.73 / $4,118.35 / $7,305.00	Facility		$2,406.73	$4,118.35	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,100.51 / $4,000.02 / $7,675.47	Professional		$2,100.51	$4,000.02	$7,675.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,718.44 / $3,920.50 / $5,075.83	Facility		$2,718.44	$3,920.50	$5,075.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,535.05 / $3,773.63 / $5,075.83	Professional		$2,535.05	$3,773.63	$5,075.83
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 $1,983.48 / $3,983.91 / $5,471.10	Professional		$1,983.48	$3,983.91	$5,471.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,733.16 / $3,459.70 / $4,070.20	Professional		$2,733.16	$3,459.70	$4,070.20