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 $1,761.72 / $2,909.56 / $3,528.16	Professional		$1,761.72	$2,909.56	$3,528.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,614.95 / $5,016.62 / $6,270.78	Professional		$3,614.95	$5,016.62	$6,270.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.07 / $3,251.63 / $5,623.53	Professional		$2,047.07	$3,251.63	$5,623.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.73 / $4,878.79 / $12,206.95	Facility		$2,454.73	$4,878.79	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,269.86 / $4,092.64 / $24,626.21	Professional		$2,269.86	$4,092.64	$24,626.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,581.00 / $4,448.21 / $6,816.53	Facility		$3,581.00	$4,448.21	$6,816.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,993.32 / $4,448.21 / $6,430.80	Professional		$2,993.32	$4,448.21	$6,430.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,161.77 / $3,458.83 / $6,442.07	Professional		$2,161.77	$3,458.83	$6,442.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,426.15 / $4,336.89 / $5,102.30	Professional		$3,426.15	$4,336.89	$5,102.30