Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.06 / $2,093.42 / $2,499.85	Professional		$1,327.06	$2,093.42	$2,499.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,747.00 / $3,268.44 / $4,046.60	Professional		$2,747.00	$3,268.44	$4,046.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.43 / $2,220.04 / $5,257.23	Professional		$1,367.43	$2,220.04	$5,257.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,093.42 / $3,325.20 / $5,237.46	Facility		$2,093.42	$3,325.20	$5,237.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,535.62 / $2,903.17 / $10,708.32	Professional		$1,535.62	$2,903.17	$10,708.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,649.37 / $3,350.15 / $4,365.68	Facility		$2,649.37	$3,350.15	$4,365.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,201.00 / $3,220.49 / $4,365.68	Professional		$2,201.00	$3,220.49	$4,365.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,407.10	Facility		$2,126.00	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.82 / $2,323.10 / $4,544.46	Professional		$1,465.82	$2,323.10	$4,544.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,243.36 / $2,839.70 / $3,340.90	Professional		$2,243.36	$2,839.70	$3,340.90