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 $1,731.89 / $2,957.83 / $10,981.80	Professional		$1,731.89	$2,957.83	$10,981.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,140.92 / $4,867.08 / $5,272.36	Professional		$4,140.92	$4,867.08	$5,272.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.60 / $3,335.19 / $5,717.54	Professional		$1,831.60	$3,335.19	$5,717.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,957.83 / $4,701.66 / $7,305.00	Facility		$2,957.83	$4,701.66	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,251.46 / $4,540.45 / $7,973.94	Professional		$2,251.46	$4,540.45	$7,973.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,996.35 / $4,478.88 / $5,819.91	Facility		$2,996.35	$4,478.88	$5,819.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,996.35 / $4,299.10 / $5,819.91	Professional		$2,996.35	$4,299.10	$5,819.91
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 $2,157.65 / $4,348.17 / $6,122.47	Professional		$2,157.65	$4,348.17	$6,122.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,113.71 / $3,941.40 / $4,637.00	Professional		$3,113.71	$3,941.40	$4,637.00