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 $1,704.78 / $2,911.31 / $10,813.50	Professional		$1,704.78	$2,911.31	$10,813.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,076.25 / $4,627.02 / $5,188.28	Professional		$4,076.25	$4,627.02	$5,188.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,802.28 / $2,843.79 / $7,185.92	Professional		$1,802.28	$2,843.79	$7,185.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,806.42 / $4,483.42 / $7,305.00	Facility		$2,806.42	$4,483.42	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,216.15 / $4,384.50 / $10,044.81	Professional		$2,216.15	$4,384.50	$10,044.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,949.94 / $4,230.68 / $5,728.46	Facility		$2,949.94	$4,230.68	$5,728.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,949.94 / $4,230.68 / $5,728.46	Professional		$2,949.94	$4,230.68	$5,728.46
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 $2,123.81 / $3,804.39 / $6,011.86	Professional		$2,123.81	$3,804.39	$6,011.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,064.17 / $3,878.70 / $4,563.20	Professional		$3,064.17	$3,878.70	$4,563.20