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 $1,584.43 / $2,512.59 / $2,929.22	Professional		$1,584.43	$2,512.59	$2,929.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,204.80 / $3,982.67 / $4,877.17	Professional		$3,204.80	$3,982.67	$4,877.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,725.72 / $2,623.18 / $5,374.65	Professional		$1,725.72	$2,623.18	$5,374.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,258.90 / $3,816.76 / $5,244.00	Facility		$2,258.90	$3,816.76	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,828.23 / $3,471.44 / $13,189.76	Professional		$1,828.23	$3,471.44	$13,189.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,195.00 / $4,137.53 / $5,094.43	Facility		$3,195.00	$4,137.53	$5,094.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,578.08 / $3,895.02 / $5,094.43	Professional		$2,578.08	$3,895.02	$5,094.43
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 $1,767.66 / $2,734.24 / $5,410.41	Professional		$1,767.66	$2,734.24	$5,410.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,882.16 / $3,648.30 / $4,292.20	Professional		$2,882.16	$3,648.30	$4,292.20