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 $2,120.42 / $3,371.26 / $4,080.84	Professional		$2,120.42	$3,371.26	$4,080.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,283.79 / $5,323.55 / $6,556.87	Professional		$4,283.79	$5,323.55	$6,556.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,328.26 / $3,527.77 / $9,072.28	Professional		$2,328.26	$3,527.77	$9,072.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,979.32 / $7,123.00	Facility		$2,950.00	$4,979.32	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,478.98 / $4,642.46 / $17,672.88	Professional		$2,478.98	$4,642.46	$17,672.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $5,558.92 / $7,034.64	Facility		$4,186.00	$5,558.92	$7,034.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,477.61 / $5,323.55 / $7,034.64	Professional		$3,477.61	$5,323.55	$7,034.64
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 $2,366.30 / $3,605.79 / $6,760.86	Professional		$2,366.30	$3,605.79	$6,760.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,872.34 / $4,901.70 / $5,766.70	Professional		$3,872.34	$4,901.70	$5,766.70