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 $1,326.90 / $2,262.56 / $8,451.11	Professional		$1,326.90	$2,262.56	$8,451.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,198.21 / $3,711.61 / $4,029.32	Professional		$3,198.21	$3,711.61	$4,029.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,398.06 / $2,382.71 / $3,184.99	Professional		$1,398.06	$2,382.71	$3,184.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,561.66 / $3,603.05 / $7,305.00	Facility		$2,561.66	$3,603.05	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,711.14 / $3,407.48 / $6,060.29	Professional		$1,711.14	$3,407.48	$6,060.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,277.73 / $3,405.33 / $4,452.35	Facility		$2,277.73	$3,405.33	$4,452.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,277.73 / $3,296.18 / $4,452.35	Professional		$2,277.73	$3,296.18	$4,452.35
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 $1,639.84 / $2,937.46 / $4,641.89	Professional		$1,639.84	$2,937.46	$4,641.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,387.38 / $3,022.00 / $3,555.30	Professional		$2,387.38	$3,022.00	$3,555.30