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 $1,156.48 / $1,944.70 / $7,343.56	Professional		$1,156.48	$1,944.70	$7,343.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,808.66 / $3,110.90 / $3,510.82	Professional		$2,808.66	$3,110.90	$3,510.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.11 / $1,989.33 / $2,429.56	Professional		$1,166.11	$1,989.33	$2,429.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,944.70 / $3,110.90 / $6,608.00	Facility		$1,944.70	$3,110.90	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,495.20 / $2,928.75 / $5,018.71	Professional		$1,495.20	$2,928.75	$5,018.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,967.93 / $2,927.05 / $3,845.98	Facility		$1,967.93	$2,927.05	$3,845.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,967.93 / $2,745.25 / $3,845.98	Professional		$1,967.93	$2,745.25	$3,845.98
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 $1,410.85 / $2,928.75 / $4,034.65	Professional		$1,410.85	$2,928.75	$4,034.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,988.35 / $2,516.90 / $2,961.00	Professional		$1,988.35	$2,516.90	$2,961.00