Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,564.73 / $2,669.08 / $9,952.78	Professional		$1,564.73	$2,669.08	$9,952.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,763.83 / $4,429.54 / $4,754.72	Professional		$3,763.83	$4,429.54	$4,754.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.84 / $2,808.34 / $3,494.72	Professional		$1,649.84	$2,808.34	$3,494.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,661.83 / $4,247.59 / $7,305.00	Facility		$2,661.83	$4,247.59	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,021.27 / $4,022.58 / $7,158.66	Professional		$2,021.27	$4,022.58	$7,158.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,690.64 / $4,022.58 / $5,250.96	Facility		$2,690.64	$4,022.58	$5,250.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,690.64 / $3,885.71 / $5,250.96	Professional		$2,690.64	$3,885.71	$5,250.96
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 $1,997.21 / $3,902.45 / $5,483.19	Professional		$1,997.21	$3,902.45	$5,483.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,814.30 / $3,562.40 / $4,191.10	Professional		$2,814.30	$3,562.40	$4,191.10