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 $1,640.72 / $2,753.45 / $2,840.44	Professional		$1,640.72	$2,753.45	$2,840.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,597.75 / $4,100.14 / $5,033.96	Professional		$3,597.75	$4,100.14	$5,033.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,678.10 / $2,750.91 / $5,710.97	Professional		$1,678.10	$2,750.91	$5,710.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,840.44 / $4,402.68 / $8,689.00	Facility		$2,840.44	$4,402.68	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,966.75 / $3,832.51 / $18,361.93	Professional		$1,966.75	$3,832.51	$18,361.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,299.34 / $4,114.85 / $5,381.96	Facility		$3,299.34	$4,114.85	$5,381.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,801.03 / $4,114.85 / $5,381.96	Professional		$2,801.03	$4,114.85	$5,381.96
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 $1,806.33 / $2,896.23 / $5,600.13	Professional		$1,806.33	$2,896.23	$5,600.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,791.94 / $3,534.10 / $4,157.80	Professional		$2,791.94	$3,534.10	$4,157.80