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 $1,450.60 / $2,474.17 / $9,231.28	Professional		$1,450.60	$2,474.17	$9,231.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,490.37 / $3,938.76 / $4,406.43	Professional		$3,490.37	$3,938.76	$4,406.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,529.29 / $2,757.39 / $4,620.87	Professional		$1,529.29	$2,757.39	$4,620.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,477.23 / $3,934.14 / $7,305.00	Facility		$2,477.23	$3,934.14	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,873.49 / $3,726.18 / $6,635.27	Professional		$1,873.49	$3,726.18	$6,635.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,493.57 / $3,712.98 / $4,856.31	Facility		$2,493.57	$3,712.98	$4,856.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,493.57 / $3,602.59 / $4,856.31	Professional		$2,493.57	$3,602.59	$4,856.31
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 $1,795.43 / $3,778.20 / $5,082.30	Professional		$1,795.43	$3,778.20	$5,082.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,609.29 / $3,302.90 / $3,885.80	Professional		$2,609.29	$3,302.90	$3,885.80