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 $1,626.60 / $2,779.01 / $10,305.70	Professional		$1,626.60	$2,779.01	$10,305.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,879.14 / $4,413.10 / $4,954.09	Professional		$3,879.14	$4,413.10	$4,954.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.58 / $2,816.24 / $3,727.27	Professional		$1,720.58	$2,816.24	$3,727.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,540.27 / $4,279.68 / $7,305.00	Facility		$2,540.27	$4,279.68	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,118.77 / $4,185.25 / $7,503.97	Professional		$2,118.77	$4,185.25	$7,503.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,983.51 / $4,034.18 / $5,470.14	Facility		$2,983.51	$4,034.18	$5,470.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,983.51 / $4,034.18 / $5,470.14	Professional		$2,983.51	$4,034.18	$5,470.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,030.49 / $4,057.93 / $5,747.69	Professional		$2,030.49	$4,057.93	$5,747.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,921.89 / $3,698.60 / $4,351.30	Professional		$2,921.89	$3,698.60	$4,351.30