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 $984.17 / $1,528.71 / $1,528.71	Professional		$984.17	$1,528.71	$1,528.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.53 / $2,947.34 / $3,684.17	Professional		$1,748.53	$2,947.34	$3,684.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.95 / $2,221.29 / $6,227.66	Professional		$1,349.95	$2,221.29	$6,227.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,334.88 / $2,063.76 / $6,572.00	Facility		$1,334.88	$2,063.76	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,231.35 / $1,935.38 / $7,002.82	Professional		$1,231.35	$1,935.38	$7,002.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,748.53 / $2,603.48 / $3,360.25	Facility		$1,748.53	$2,603.48	$3,360.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,748.53 / $2,603.48 / $3,360.25	Professional		$1,748.53	$2,603.48	$3,360.25
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 $1,231.35 / $1,689.28 / $3,212.25	Professional		$1,231.35	$1,689.28	$3,212.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,233.25 / $2,826.90 / $3,325.80	Professional		$2,233.25	$2,826.90	$3,325.80