Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $5,754.40	Facility		$2,884.03	$3,630.78	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $3,630.78	Professional		$2,884.03	$3,090.30	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,951.21	Professional		$2,344.23	$2,344.23	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $3,019.95 / $3,548.13	Professional		$151.36	$3,019.95	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $3,630.78	Facility		$1,318.26	$2,884.03	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $3,235.94	Professional		$1,862.09	$3,019.95	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $3,467.37	Professional		$1,412.54	$1,412.54	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,235.94	Professional		$3,019.95	$3,019.95	$3,235.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95