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 $1,032.53 / $1,505.15 / $1,827.93	Professional		$1,032.53	$1,505.15	$1,827.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,032.40 / $2,608.01 / $3,245.93	Professional		$2,032.40	$2,608.01	$3,245.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.07 / $1,725.59 / $3,313.45	Professional		$1,080.07	$1,725.59	$3,313.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,827.93 / $2,648.14 / $8,604.00	Facility		$1,827.93	$2,648.14	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,215.01 / $2,281.58 / $8,583.92	Professional		$1,215.01	$2,281.58	$8,583.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,125.46 / $2,648.14 / $3,463.59	Facility		$2,125.46	$2,648.14	$3,463.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,555.36 / $2,390.63 / $3,463.59	Professional		$1,555.36	$2,390.63	$3,463.59
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 $1,159.78 / $1,767.28 / $3,540.84	Professional		$1,159.78	$1,767.28	$3,540.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,798.28 / $2,276.30 / $2,678.00	Professional		$1,798.28	$2,276.30	$2,678.00