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 $1,114.93 / $1,901.78 / $7,099.94	Professional		$1,114.93	$1,901.78	$7,099.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $3,079.16 / $3,387.99	Professional		$2,679.32	$3,079.16	$3,387.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.61 / $1,999.25 / $2,478.58	Professional		$1,174.61	$1,999.25	$2,478.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $3,024.95 / $7,305.00	Facility		$2,236.00	$3,024.95	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,441.37 / $2,866.36 / $5,104.85	Professional		$1,441.37	$2,866.36	$5,104.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,012.48 / $2,866.36 / $3,744.82	Facility		$2,012.48	$2,866.36	$3,744.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,012.48 / $2,766.35 / $3,744.82	Professional		$2,012.48	$2,766.35	$3,744.82
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 $1,381.31 / $2,474.35 / $3,910.07	Professional		$1,381.31	$2,474.35	$3,910.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,003.60 / $2,536.19 / $2,983.80	Professional		$2,003.60	$2,536.19	$2,983.80