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 $879.48 / $1,506.22 / $5,476.71	Professional		$879.48	$1,506.22	$5,476.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,091.10 / $2,613.88 / $2,690.22	Professional		$2,091.10	$2,613.88	$2,690.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $941.42 / $1,582.99 / $3,139.39	Professional		$941.42	$1,582.99	$3,139.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,619.61 / $2,506.54 / $7,305.00	Facility		$1,619.61	$2,506.54	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,205.20 / $2,268.40 / $4,070.57	Professional		$1,205.20	$2,268.40	$4,070.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,567.37 / $2,267.39 / $2,952.55	Facility		$1,567.37	$2,267.39	$2,952.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,567.37 / $2,195.75 / $2,952.55	Professional		$1,567.37	$2,195.75	$2,952.55
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 $1,101.45 / $2,211.05 / $3,517.31	Professional		$1,101.45	$2,211.05	$3,517.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,590.35 / $2,013.10 / $2,368.30	Professional		$1,590.35	$2,013.10	$2,368.30