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 $1,963.11 / $3,121.22 / $3,829.79	Professional		$1,963.11	$3,121.22	$3,829.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,965.56 / $4,928.08 / $6,005.66	Professional		$3,965.56	$4,928.08	$6,005.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,155.44 / $3,265.52 / $6,639.16	Professional		$2,155.44	$3,265.52	$6,639.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,756.36 / $4,748.29 / $6,552.60	Facility		$2,756.36	$4,748.29	$6,552.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,294.15 / $4,292.07 / $16,360.08	Professional		$2,294.15	$4,292.07	$16,360.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,810.00 / $5,146.25 / $6,272.77	Facility		$3,810.00	$5,146.25	$6,272.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,239.51 / $4,748.29 / $6,272.77	Professional		$3,239.51	$4,748.29	$6,272.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,189.87 / $3,336.94 / $6,256.77	Professional		$2,189.87	$3,336.94	$6,256.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,584.86 / $4,537.80 / $5,338.60	Professional		$3,584.86	$4,537.80	$5,338.60