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 $1,098.14 / $1,873.06 / $6,994.46	Professional		$1,098.14	$1,873.06	$6,994.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,638.03 / $2,978.18 / $3,336.36	Professional		$2,638.03	$2,978.18	$3,336.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,155.96 / $1,968.18 / $2,459.65	Professional		$1,155.96	$1,968.18	$2,459.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,152.00 / $2,999.75 / $7,305.00	Facility		$2,152.00	$2,999.75	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,429.92 / $2,821.81 / $5,026.82	Professional		$1,429.92	$2,821.81	$5,026.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,981.21 / $2,821.81 / $3,688.75	Facility		$1,981.21	$2,821.81	$3,688.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,981.21 / $2,739.20 / $3,688.75	Professional		$1,981.21	$2,739.20	$3,688.75
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 $1,360.20 / $2,472.48 / $3,915.00	Professional		$1,360.20	$2,472.48	$3,915.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,972.00 / $2,496.19 / $2,936.70	Professional		$1,972.00	$2,496.19	$2,936.70