Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.23 / $3,172.15 / $3,172.15	Professional		$1,857.23	$3,172.15	$3,172.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,438.53 / $5,041.68 / $5,653.06	Professional		$4,438.53	$5,041.68	$5,653.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,964.96 / $3,329.73 / $5,617.64	Professional		$1,964.96	$3,329.73	$5,617.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,011.86 / $4,898.00 / $7,305.00	Facility		$3,011.86	$4,898.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,415.50 / $4,792.16 / $8,554.91	Professional		$2,415.50	$4,792.16	$8,554.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,214.47 / $4,792.16 / $6,241.84	Facility		$3,214.47	$4,792.16	$6,241.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,214.47 / $4,610.59 / $6,241.84	Professional		$3,214.47	$4,610.59	$6,241.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,314.86 / $4,627.07 / $6,580.42	Professional		$2,314.86	$4,627.07	$6,580.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,339.33 / $4,227.00 / $4,973.00	Professional		$3,339.33	$4,227.00	$4,973.00