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 $1,001.07 / $1,707.62 / $6,373.10	Professional		$1,001.07	$1,707.62	$6,373.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.30 / $2,861.65 / $3,042.11	Professional		$2,404.30	$2,861.65	$3,042.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.21 / $1,794.33 / $2,372.57	Professional		$1,054.21	$1,794.33	$2,372.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,095.00 / $2,846.84 / $7,305.00	Facility		$2,095.00	$2,846.84	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,294.15 / $2,609.87 / $4,583.46	Professional		$1,294.15	$2,609.87	$4,583.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,719.63 / $2,573.12 / $3,364.26	Facility		$1,719.63	$2,573.12	$3,364.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,719.63 / $2,482.52 / $3,364.26	Professional		$1,719.63	$2,482.52	$3,364.26
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 $1,240.23 / $2,481.44 / $3,510.71	Professional		$1,240.23	$2,481.44	$3,510.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,276.00 / $2,677.60	Professional		$1,798.04	$2,276.00	$2,677.60