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 $1,493.93 / $2,548.27 / $9,502.74	Professional		$1,493.93	$2,548.27	$9,502.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,593.21 / $4,079.99 / $4,538.55	Professional		$3,593.21	$4,079.99	$4,538.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.82 / $2,849.19 / $4,790.07	Professional		$1,574.82	$2,849.19	$4,790.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,513.26 / $4,056.72 / $7,305.00	Facility		$2,513.26	$4,056.72	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,929.96 / $3,837.75 / $6,835.28	Professional		$1,929.96	$3,837.75	$6,835.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,568.79 / $3,825.84 / $5,003.96	Facility		$2,568.79	$3,825.84	$5,003.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,568.79 / $3,708.86 / $5,003.96	Professional		$2,568.79	$3,708.86	$5,003.96
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 $1,849.55 / $3,726.20 / $5,235.50	Professional		$1,849.55	$3,726.20	$5,235.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,686.24 / $3,400.30 / $4,000.40	Professional		$2,686.24	$3,400.30	$4,000.40