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 $1,850.83 / $2,917.54 / $3,206.26	Professional		$1,850.83	$2,917.54	$3,206.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,901.00 / $4,622.31 / $5,661.14	Professional		$3,901.00	$4,622.31	$5,661.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,896.35 / $3,086.08 / $6,675.54	Professional		$1,896.35	$3,086.08	$6,675.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,206.26 / $4,937.64 / $8,689.00	Facility		$3,206.26	$4,937.64	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,236.42 / $4,232.02 / $18,246.50	Professional		$2,236.42	$4,232.02	$18,246.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,719.52 / $4,677.52 / $6,117.89	Facility		$3,719.52	$4,677.52	$6,117.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,983.73 / $4,674.04 / $6,117.89	Professional		$2,983.73	$4,674.04	$6,117.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $2,145.26 / $3,387.59 / $6,389.10	Professional		$2,145.26	$3,387.59	$6,389.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,148.39 / $3,985.30 / $4,688.60	Professional		$3,148.39	$3,985.30	$4,688.60