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 $1,235.55 / $2,108.17 / $7,857.89	Professional		$1,235.55	$2,108.17	$7,857.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,963.70 / $3,515.45 / $3,755.50	Professional		$2,963.70	$3,515.45	$3,755.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.84 / $2,367.39 / $4,128.76	Professional		$1,301.84	$2,367.39	$4,128.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,480.48 / $3,352.02 / $7,305.00	Facility		$2,480.48	$3,352.02	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,598.99 / $3,224.63 / $5,663.08	Professional		$1,598.99	$3,224.63	$5,663.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,126.82 / $3,180.76 / $4,152.42	Facility		$2,126.82	$3,180.76	$4,152.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,126.82 / $3,063.29 / $4,152.42	Professional		$2,126.82	$3,063.29	$4,152.42
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 $1,532.36 / $3,086.25 / $4,337.64	Professional		$1,532.36	$3,086.25	$4,337.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,218.71 / $2,808.50 / $3,304.10	Professional		$2,218.71	$2,808.50	$3,304.10