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 $1,330.52 / $2,270.56 / $8,456.49	Professional		$1,330.52	$2,270.56	$8,456.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,188.86 / $3,743.02 / $4,044.94	Professional		$3,188.86	$3,743.02	$4,044.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.39 / $2,384.64 / $3,181.92	Professional		$1,403.39	$2,384.64	$3,181.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,670.65 / $3,609.63 / $7,305.00	Facility		$2,670.65	$3,609.63	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,723.55 / $3,461.73 / $6,104.23	Professional		$1,723.55	$3,461.73	$6,104.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,413.02 / $3,427.15 / $4,471.12	Facility		$2,413.02	$3,427.15	$4,471.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,413.02 / $3,300.55 / $4,471.12	Professional		$2,413.02	$3,300.55	$4,471.12
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 $1,651.73 / $2,958.76 / $4,703.51	Professional		$1,651.73	$2,958.76	$4,703.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,390.54 / $3,026.00 / $3,560.00	Professional		$2,390.54	$3,026.00	$3,560.00