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 $1,778.51 / $3,039.69 / $11,253.60	Professional		$1,778.51	$3,039.69	$11,253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,234.41 / $4,824.64 / $5,404.99	Professional		$4,234.41	$4,824.64	$5,404.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,882.81 / $3,184.19 / $5,367.83	Professional		$1,882.81	$3,184.19	$5,367.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,515.51 / $4,681.12 / $7,305.00	Facility		$2,515.51	$4,681.12	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,319.94 / $4,568.68 / $8,216.48	Professional		$2,319.94	$4,568.68	$8,216.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,083.77 / $4,410.45 / $5,975.53	Facility		$3,083.77	$4,410.45	$5,975.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,962.00 / $4,410.45 / $5,484.29	Professional		$2,962.00	$4,410.45	$5,484.29
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 $2,223.28 / $4,441.95 / $6,293.44	Professional		$2,223.28	$4,441.95	$6,293.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,194.37 / $4,043.50 / $4,757.10	Professional		$3,194.37	$4,043.50	$4,757.10