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 $1,209.80 / $2,062.73 / $7,707.65	Professional		$1,209.80	$2,062.73	$7,707.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,915.39 / $3,294.16 / $3,673.83	Professional		$2,915.39	$3,294.16	$3,673.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.28 / $2,307.11 / $3,868.78	Professional		$1,274.28	$2,307.11	$3,868.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,147.48 / $3,285.61 / $7,305.00	Facility		$2,147.48	$3,285.61	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,560.54 / $3,106.55 / $5,526.91	Professional		$1,560.54	$3,106.55	$5,526.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,076.86 / $3,094.36 / $4,047.21	Facility		$2,076.86	$3,094.36	$4,047.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,076.86 / $3,004.34 / $4,047.21	Professional		$2,076.86	$3,004.34	$4,047.21
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 $1,495.52 / $2,992.94 / $4,233.35	Professional		$1,495.52	$2,992.94	$4,233.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,175.98 / $2,754.40 / $3,240.50	Professional		$2,175.98	$2,754.40	$3,240.50