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 $1,773.36 / $3,029.60 / $11,232.50	Professional		$1,773.36	$3,029.60	$11,232.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,232.85 / $4,813.08 / $5,400.86	Professional		$4,232.85	$4,813.08	$5,400.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,877.06 / $3,373.18 / $5,643.26	Professional		$1,877.06	$3,373.18	$5,643.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,029.60 / $4,813.08 / $7,305.00	Facility		$3,029.60	$4,813.08	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,309.05 / $4,562.64 / $8,177.89	Professional		$2,309.05	$4,562.64	$8,177.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,070.89 / $4,538.18 / $5,935.65	Facility		$3,070.89	$4,538.18	$5,935.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,070.89 / $4,401.72 / $5,935.65	Professional		$3,070.89	$4,401.72	$5,935.65
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 $2,116.63 / $4,422.27 / $6,265.87	Professional		$2,116.63	$4,422.27	$6,265.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,188.05 / $4,035.50 / $4,747.70	Professional		$3,188.05	$4,035.50	$4,747.70