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 $1,639.30 / $2,798.46 / $10,408.40	Professional		$1,639.30	$2,798.46	$10,408.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,923.55 / $4,792.89 / $4,986.52	Professional		$3,923.55	$4,792.89	$4,986.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.88 / $2,937.85 / $3,627.23	Professional		$1,730.88	$2,937.85	$3,627.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,854.28 / $4,447.97 / $7,305.00	Facility		$2,854.28	$4,447.97	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,145.60 / $4,289.89 / $7,533.89	Professional		$2,145.60	$4,289.89	$7,533.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,828.10 / $4,229.35 / $5,510.18	Facility		$2,828.10	$4,229.35	$5,510.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,828.10 / $4,066.92 / $5,510.18	Professional		$2,828.10	$4,066.92	$5,510.18
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 $2,038.58 / $4,104.97 / $6,350.45	Professional		$2,038.58	$4,104.97	$6,350.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,945.59 / $3,728.60 / $4,386.60	Professional		$2,945.59	$3,728.60	$4,386.60