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 $1,635.14 / $2,684.73 / $4,887.99	Professional		$1,635.14	$2,684.73	$4,887.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,763.05 / $4,267.18 / $4,784.75	Professional		$3,763.05	$4,267.18	$4,784.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,662.05 / $2,819.62 / $3,627.75	Professional		$1,662.05	$2,819.62	$3,627.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,948.00 / $4,134.47 / $7,305.00	Facility		$2,948.00	$4,134.47	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,042.32 / $4,043.28 / $7,233.20	Professional		$2,042.32	$4,043.28	$7,233.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,718.60 / $4,019.63 / $5,282.56	Facility		$2,718.60	$4,019.63	$5,282.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,718.60 / $3,903.17 / $5,282.56	Professional		$2,718.60	$3,903.17	$5,282.56
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 $1,872.12 / $3,505.98 / $5,540.29	Professional		$1,872.12	$3,505.98	$5,540.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,827.02 / $3,578.50 / $4,210.00	Professional		$2,827.02	$3,578.50	$4,210.00