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 $1,345.86 / $2,295.62 / $8,563.26	Professional		$1,345.86	$2,295.62	$8,563.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,237.94 / $3,745.54 / $4,089.38	Professional		$3,237.94	$3,745.54	$4,089.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.46 / $2,416.17 / $3,237.45	Professional		$1,419.46	$2,416.17	$3,237.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,704.80 / $3,653.85 / $7,305.00	Facility		$2,704.80	$3,653.85	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,738.45 / $3,505.88 / $6,157.02	Professional		$1,738.45	$3,505.88	$6,157.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,313.08 / $3,452.65 / $4,515.85	Facility		$2,313.08	$3,452.65	$4,515.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,313.08 / $3,343.50 / $4,515.85	Professional		$2,313.08	$3,343.50	$4,515.85
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 $1,666.02 / $3,355.53 / $4,715.99	Professional		$1,666.02	$3,355.53	$4,715.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,421.59 / $3,065.30 / $3,606.30	Professional		$2,421.59	$3,065.30	$3,606.30