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 $2,040.04 / $3,243.71 / $3,637.33	Professional		$2,040.04	$3,243.71	$3,637.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,120.21 / $5,120.26 / $6,344.71	Professional		$4,120.21	$5,120.26	$6,344.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,240.89 / $3,393.65 / $6,898.11	Professional		$2,240.89	$3,393.65	$6,898.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,797.63 / $4,699.41 / $6,518.98	Facility		$2,797.63	$4,699.41	$6,518.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,385.55 / $4,501.78 / $16,999.52	Professional		$2,385.55	$4,501.78	$16,999.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $5,349.31 / $6,769.32	Facility		$3,940.00	$5,349.31	$6,769.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,246.85 / $5,120.26 / $6,769.32	Professional		$3,246.85	$5,120.26	$6,769.32
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 $2,276.91 / $3,446.41 / $6,505.47	Professional		$2,276.91	$3,446.41	$6,505.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,726.35 / $4,716.89 / $5,549.30	Professional		$3,726.35	$4,716.89	$5,549.30