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 $1,345.18 / $2,294.50 / $8,558.62	Professional		$1,345.18	$2,294.50	$8,558.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.60 / $3,756.86 / $4,086.97	Professional		$3,235.60	$3,756.86	$4,086.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.53 / $2,414.46 / $3,237.45	Professional		$1,418.53	$2,414.46	$3,237.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,702.82 / $3,651.27 / $7,305.00	Facility		$2,702.82	$3,651.27	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.41 / $3,503.77 / $6,153.32	Professional		$1,737.41	$3,503.77	$6,153.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,311.40 / $3,438.13 / $4,496.83	Facility		$2,311.40	$3,438.13	$4,496.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,311.40 / $3,341.32 / $4,496.83	Professional		$2,311.40	$3,341.32	$4,496.83
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 $1,598.35 / $3,503.77 / $4,792.35	Professional		$1,598.35	$3,503.77	$4,792.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,420.01 / $3,063.30 / $3,603.90	Professional		$2,420.01	$3,063.30	$3,603.90