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 $1,863.27 / $3,178.60 / $11,868.90	Professional		$1,863.27	$3,178.60	$11,868.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,496.97 / $4,904.25 / $5,621.21	Professional		$4,496.97	$4,904.25	$5,621.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.35 / $2,764.44 / $3,944.09	Professional		$1,965.35	$2,764.44	$3,944.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,195.87 / $4,770.85 / $7,305.00	Facility		$2,195.87	$4,770.85	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,196.35 / $4,606.14 / $6,609.01	Professional		$2,196.35	$4,606.14	$6,609.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,515.00 / $4,641.89 / $6,210.74	Facility		$2,515.00	$4,641.89	$6,210.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,482.91 / $4,641.89 / $5,715.61	Professional		$2,482.91	$4,641.89	$5,715.61
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 $2,096.51 / $4,316.49 / $6,499.79	Professional		$2,096.51	$4,316.49	$6,499.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,362.00 / $4,255.70 / $5,006.70	Professional		$3,362.00	$4,255.70	$5,006.70