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 $1,827.96 / $3,123.07 / $11,577.60	Professional		$1,827.96	$3,123.07	$11,577.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,361.39 / $5,038.08 / $5,567.79	Professional		$4,361.39	$5,038.08	$5,567.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,934.44 / $3,520.70 / $5,919.75	Professional		$1,934.44	$3,520.70	$5,919.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,047.88 / $4,906.20 / $7,305.00	Facility		$3,047.88	$4,906.20	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,380.78 / $4,733.72 / $8,431.92	Professional		$2,380.78	$4,733.72	$8,431.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,353.12 / $4,733.72 / $6,145.76	Facility		$3,353.12	$4,733.72	$6,145.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,353.12 / $4,535.62 / $6,145.76	Professional		$3,353.12	$4,535.62	$6,145.76
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 $2,281.58 / $4,087.00 / $6,518.86	Professional		$2,281.58	$4,087.00	$6,518.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,285.06 / $4,158.30 / $4,892.10	Professional		$3,285.06	$4,158.30	$4,892.10