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 $1,332.52 / $2,274.40 / $8,470.62	Professional		$1,332.52	$2,274.40	$8,470.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,195.87 / $3,616.93 / $4,052.14	Professional		$3,195.87	$3,616.93	$4,052.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.69 / $2,220.26 / $4,537.60	Professional		$1,407.69	$2,220.26	$4,537.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,011.33 / $3,502.58 / $7,305.00	Facility		$2,011.33	$3,502.58	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,728.82 / $3,426.67 / $7,180.86	Professional		$1,728.82	$3,426.67	$7,180.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,302.55 / $3,309.30 / $4,476.00	Facility		$2,302.55	$3,309.30	$4,476.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,302.55 / $3,309.30 / $4,476.00	Professional		$2,302.55	$3,309.30	$4,476.00
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 $1,656.78 / $3,313.24 / $4,768.64	Professional		$1,656.78	$3,313.24	$4,768.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,396.86 / $3,034.00 / $3,569.40	Professional		$2,396.86	$3,034.00	$3,569.40