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 $2,010.18 / $3,313.74 / $3,461.88	Professional		$2,010.18	$3,313.74	$3,461.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,153.76 / $5,100.77 / $6,375.96	Professional		$4,153.76	$5,100.77	$6,375.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,288.62 / $3,485.91 / $6,244.32	Professional		$2,288.62	$3,485.91	$6,244.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,837.47 / $4,963.21 / $6,572.00	Facility		$2,837.47	$4,963.21	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,436.03 / $4,562.01 / $17,369.36	Professional		$2,436.03	$4,562.01	$17,369.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,210.68 / $5,071.59 / $6,831.49	Facility		$4,210.68	$5,071.59	$6,831.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,086.67 / $4,963.21 / $6,831.49	Professional		$3,086.67	$4,963.21	$6,831.49
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 $2,407.32 / $3,543.31 / $6,643.71	Professional		$2,407.32	$3,543.31	$6,643.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,806.93 / $4,818.89 / $5,669.30	Professional		$3,806.93	$4,818.89	$5,669.30