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 $1,277.14 / $2,177.31 / $8,138.86	Professional		$1,277.14	$2,177.31	$8,138.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,080.56 / $3,497.87 / $3,876.80	Professional		$3,080.56	$3,497.87	$3,876.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.69 / $2,445.26 / $4,107.10	Professional		$1,345.69	$2,445.26	$4,107.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,562.00 / $3,467.76 / $7,305.00	Facility		$2,562.00	$3,467.76	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,646.11 / $3,319.66 / $5,829.98	Professional		$1,646.11	$3,319.66	$5,829.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,191.34 / $3,260.25 / $4,264.18	Facility		$2,191.34	$3,260.25	$4,264.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,191.34 / $3,173.92 / $4,264.18	Professional		$2,191.34	$3,173.92	$4,264.18
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 $1,577.52 / $2,825.83 / $4,465.49	Professional		$1,577.52	$2,825.83	$4,465.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,298.82 / $2,909.90 / $3,423.40	Professional		$2,298.82	$2,909.90	$3,423.40