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 $847.52 / $1,451.23 / $5,280.84	Professional		$847.52	$1,451.23	$5,280.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.09 / $2,521.36 / $2,673.06	Professional		$2,017.09	$2,521.36	$2,673.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $907.18 / $1,556.55 / $2,877.76	Professional		$907.18	$1,556.55	$2,877.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,618.48 / $2,452.58 / $7,305.00	Facility		$1,618.48	$2,452.58	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,158.00 / $2,233.15 / $3,921.86	Professional		$1,158.00	$2,233.15	$3,921.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,485.83 / $2,190.90 / $2,844.85	Facility		$1,485.83	$2,190.90	$2,844.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,485.83 / $2,116.44 / $2,844.85	Professional		$1,485.83	$2,116.44	$2,844.85
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 $1,061.21 / $2,130.73 / $3,430.47	Professional		$1,061.21	$2,130.73	$3,430.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,532.92 / $1,940.40 / $2,282.80	Professional		$1,532.92	$1,940.40	$2,282.80