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 $1,485.20 / $2,536.44 / $9,420.95	Professional		$1,485.20	$2,536.44	$9,420.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.14 / $4,029.88 / $4,520.53	Professional		$3,551.14	$4,029.88	$4,520.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.28 / $2,662.35 / $4,946.35	Professional		$1,570.28	$2,662.35	$4,946.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,568.41 / $3,913.62 / $7,305.00	Facility		$2,568.41	$3,913.62	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,930.50 / $3,839.97 / $8,444.00	Professional		$1,930.50	$3,839.97	$8,444.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,569.26 / $3,688.96 / $4,990.46	Facility		$2,569.26	$3,688.96	$4,990.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,569.26 / $3,686.29 / $4,990.46	Professional		$2,569.26	$3,686.29	$4,990.46
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 $1,850.06 / $3,314.03 / $5,324.96	Professional		$1,850.06	$3,314.03	$5,324.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,669.88 / $3,379.60 / $3,976.00	Professional		$2,669.88	$3,379.60	$3,976.00