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 $1,749.79 / $2,988.59 / $11,093.90	Professional		$1,749.79	$2,988.59	$11,093.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,182.21 / $4,749.29 / $5,327.59	Professional		$4,182.21	$4,749.29	$5,327.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.25 / $2,920.24 / $6,277.12	Professional		$1,850.25	$2,920.24	$6,277.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,888.91 / $4,525.83 / $7,305.00	Facility		$2,888.91	$4,525.83	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,274.48 / $4,525.83 / $10,362.40	Professional		$2,274.48	$4,525.83	$10,362.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,199.91 / $4,342.77 / $5,879.61	Facility		$3,199.91	$4,342.77	$5,879.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,199.91 / $4,342.77 / $5,879.61	Professional		$3,199.91	$4,342.77	$5,879.61
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 $2,179.71 / $4,393.72 / $6,790.12	Professional		$2,179.71	$4,393.72	$6,790.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,145.39 / $3,981.50 / $4,684.10	Professional		$3,145.39	$3,981.50	$4,684.10