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 $1,198.28 / $2,041.78 / $3,444.00	Professional		$1,198.28	$2,041.78	$3,444.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,867.09 / $3,235.19 / $3,619.79	Professional		$2,867.09	$3,235.19	$3,619.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.24 / $2,004.42 / $3,506.68	Professional		$1,256.24	$2,004.42	$3,506.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,278.00 / $3,235.19 / $7,305.00	Facility		$2,278.00	$3,235.19	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,550.26 / $3,074.98 / $5,490.49	Professional		$1,550.26	$3,074.98	$5,490.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,896.62 / $2,951.21 / $4,021.46	Facility		$1,896.62	$2,951.21	$4,021.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,896.62 / $2,951.21 / $4,021.46	Professional		$1,896.62	$2,951.21	$4,021.46
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 $1,485.66 / $2,971.97 / $4,205.46	Professional		$1,485.66	$2,971.97	$4,205.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.50 / $2,705.70 / $3,183.20	Professional		$2,137.50	$2,705.70	$3,183.20