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 $1,498.60 / $2,543.59 / $2,543.59	Professional		$1,498.60	$2,543.59	$2,543.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,562.05 / $4,042.03 / $4,533.74	Professional		$3,562.05	$4,042.03	$4,533.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.26 / $2,670.62 / $4,924.18	Professional		$1,575.26	$2,670.62	$4,924.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,527.89 / $3,917.13 / $7,305.00	Facility		$2,527.89	$3,917.13	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,936.37 / $3,841.95 / $8,292.49	Professional		$1,936.37	$3,841.95	$8,292.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,577.05 / $3,697.94 / $5,005.34	Facility		$2,577.05	$3,697.94	$5,005.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,577.05 / $3,697.94 / $5,005.34	Professional		$2,577.05	$3,697.94	$5,005.34
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 $1,855.69 / $3,709.77 / $5,289.67	Professional		$1,855.69	$3,709.77	$5,289.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,678.34 / $3,390.30 / $3,988.60	Professional		$2,678.34	$3,390.30	$3,988.60