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 $1,870.18 / $2,826.09 / $2,826.09	Professional		$1,870.18	$2,826.09	$2,826.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,959.39 / $4,492.22 / $5,036.96	Professional		$3,959.39	$4,492.22	$5,036.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.24 / $2,848.42 / $3,470.35	Professional		$1,750.24	$2,848.42	$3,470.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,477.62 / $7,305.00	Facility		$2,950.00	$4,477.62	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,150.75 / $4,256.14 / $7,617.23	Professional		$2,150.75	$4,256.14	$7,617.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,941.63 / $4,109.13 / $5,561.16	Facility		$2,941.63	$4,109.13	$5,561.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,941.63 / $4,109.13 / $5,561.16	Professional		$2,941.63	$4,109.13	$5,561.16
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 $2,061.13 / $4,256.14 / $5,834.44	Professional		$2,061.13	$4,256.14	$5,834.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,976.17 / $3,767.30 / $4,432.10	Professional		$2,976.17	$3,767.30	$4,432.10