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 $1,609.94 / $2,747.13 / $10,229.40	Professional		$1,609.94	$2,747.13	$10,229.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,866.67 / $4,584.16 / $4,895.24	Professional		$3,866.67	$4,584.16	$4,895.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.60 / $2,888.52 / $3,560.70	Professional		$1,698.60	$2,888.52	$3,560.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,740.61 / $4,369.41 / $7,305.00	Facility		$2,740.61	$4,369.41	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,082.54 / $4,144.27 / $7,375.66	Professional		$2,082.54	$4,144.27	$7,375.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,915.16 / $4,144.27 / $5,405.19	Facility		$2,915.16	$4,144.27	$5,405.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,915.16 / $3,997.06 / $5,405.19	Professional		$2,915.16	$3,997.06	$5,405.19
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 $1,995.77 / $4,021.40 / $5,702.58	Professional		$1,995.77	$4,021.40	$5,702.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,894.96 / $3,664.50 / $4,311.20	Professional		$2,894.96	$3,664.50	$4,311.20