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 $1,226.24 / $2,090.35 / $7,817.26	Professional		$1,226.24	$2,090.35	$7,817.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,959.02 / $3,377.17 / $3,723.07	Professional		$2,959.02	$3,377.17	$3,723.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.86 / $2,345.15 / $3,965.76	Professional		$1,290.86	$2,345.15	$3,965.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,466.36 / $3,329.83 / $7,305.00	Facility		$2,466.36	$3,329.83	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,579.37 / $3,148.13 / $5,593.60	Professional		$1,579.37	$3,148.13	$5,593.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,103.15 / $3,111.20 / $4,069.24	Facility		$2,103.15	$3,111.20	$4,069.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,103.15 / $3,045.83 / $4,069.24	Professional		$2,103.15	$3,045.83	$4,069.24
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 $1,513.56 / $3,047.81 / $4,394.27	Professional		$1,513.56	$3,047.81	$4,394.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,206.00 / $2,792.40 / $3,285.20	Professional		$2,206.00	$2,792.40	$3,285.20