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 $1,450.74 / $2,471.09 / $9,189.64	Professional		$1,450.74	$2,471.09	$9,189.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,480.24 / $3,919.88 / $4,381.21	Professional		$3,480.24	$3,919.88	$4,381.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.38 / $2,596.08 / $5,156.64	Professional		$1,520.38	$2,596.08	$5,156.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,904.99 / $3,881.99 / $7,305.00	Facility		$2,904.99	$3,881.99	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,872.94 / $3,733.24 / $6,633.32	Professional		$1,872.94	$3,733.24	$6,633.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,499.14 / $3,733.24 / $4,863.39	Facility		$2,499.14	$3,733.24	$4,863.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,499.14 / $3,575.66 / $4,863.39	Professional		$2,499.14	$3,575.66	$4,863.39
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 $1,716.86 / $3,215.21 / $5,094.47	Professional		$1,716.86	$3,215.21	$5,094.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,589.78 / $3,278.20 / $3,856.70	Professional		$2,589.78	$3,278.20	$3,856.70