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 $1,155.17 / $1,969.67 / $7,370.25	Professional		$1,155.17	$1,969.67	$7,370.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,793.07 / $3,132.92 / $3,491.34	Professional		$2,793.07	$3,132.92	$3,491.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.33 / $2,010.33 / $3,220.40	Professional		$1,216.33	$2,010.33	$3,220.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $3,033.29 / $7,305.00	Facility		$1,966.00	$3,033.29	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,482.38 / $2,936.03 / $4,754.02	Professional		$1,482.38	$2,936.03	$4,754.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,942.09 / $2,857.88 / $3,840.14	Facility		$1,942.09	$2,857.88	$3,840.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,942.09 / $2,725.54 / $3,840.14	Professional		$1,942.09	$2,725.54	$3,840.14
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 $1,374.30 / $2,116.59 / $4,021.34	Professional		$1,374.30	$2,116.59	$4,021.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,083.23 / $2,637.00 / $3,102.30	Professional		$2,083.23	$2,637.00	$3,102.30