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 $1,360.13 / $2,316.92 / $8,619.18	Professional		$1,360.13	$2,316.92	$8,619.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,262.87 / $3,675.36 / $4,108.59	Professional		$3,262.87	$3,675.36	$4,108.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.52 / $2,504.06 / $4,215.42	Professional		$1,425.52	$2,504.06	$4,215.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,723.69 / $3,671.98 / $7,305.00	Facility		$2,723.69	$3,671.98	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,756.20 / $3,494.56 / $6,219.88	Professional		$1,756.20	$3,494.56	$6,219.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,336.83 / $3,494.56 / $4,559.84	Facility		$2,336.83	$3,494.56	$4,559.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,336.83 / $3,352.95 / $4,559.84	Professional		$2,336.83	$3,352.95	$4,559.84
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 $1,683.03 / $3,367.12 / $4,779.45	Professional		$1,683.03	$3,367.12	$4,779.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,428.46 / $3,074.00 / $3,616.50	Professional		$2,428.46	$3,074.00	$3,616.50