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 $1,236.54 / $2,106.17 / $7,891.01	Professional		$1,236.54	$2,106.17	$7,891.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,003.43 / $3,354.35 / $3,754.29	Professional		$3,003.43	$3,354.35	$3,754.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,298.50 / $2,049.80 / $2,538.44	Professional		$1,298.50	$2,049.80	$2,538.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,433.30 / $3,117.93 / $7,155.00	Facility		$1,433.30	$3,117.93	$7,155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,575.13 / $3,117.93 / $4,965.43	Professional		$1,575.13	$3,117.93	$4,965.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,068.59 / $3,079.31 / $4,078.06	Facility		$2,068.59	$3,079.31	$4,078.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,068.59 / $3,079.31 / $4,078.06	Professional		$2,068.59	$3,079.31	$4,078.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.30 / $3,153.26 / $8,342.00	Facility		$1,433.30	$3,153.26	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,509.50 / $3,024.61 / $4,272.93	Professional		$1,509.50	$3,024.61	$4,272.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,230.25 / $2,823.10 / $3,321.30	Professional		$2,230.25	$2,823.10	$3,321.30