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 $1,369.60 / $2,335.63 / $8,715.85	Professional		$1,369.60	$2,335.63	$8,715.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,297.93 / $3,834.82 / $4,160.24	Professional		$3,297.93	$3,834.82	$4,160.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.33 / $2,458.76 / $3,283.78	Professional		$1,443.33	$2,458.76	$3,283.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,752.76 / $3,717.74 / $7,305.00	Facility		$2,752.76	$3,717.74	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,766.62 / $3,517.53 / $6,256.77	Professional		$1,766.62	$3,517.53	$6,256.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,350.83 / $3,507.80 / $4,587.95	Facility		$2,350.83	$3,507.80	$4,587.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,350.83 / $3,401.73 / $4,587.95	Professional		$2,350.83	$3,401.73	$4,587.95
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 $1,693.01 / $3,409.47 / $4,792.39	Professional		$1,693.01	$3,409.47	$4,792.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,463.77 / $3,118.70 / $3,669.10	Professional		$2,463.77	$3,118.70	$3,669.10