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 $1,295.71 / $2,205.90 / $8,058.64	Professional		$1,295.71	$2,205.90	$8,058.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,722.95 / $3,403.69 / $3,906.82	Professional		$2,722.95	$3,403.69	$3,906.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.68 / $2,064.69 / $3,996.71	Professional		$1,229.68	$2,064.69	$3,996.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,020.29 / $3,397.09 / $7,305.00	Facility		$2,020.29	$3,397.09	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,645.40 / $3,318.23 / $5,665.24	Professional		$1,645.40	$3,318.23	$5,665.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,205.10 / $3,294.91 / $4,309.52	Facility		$2,205.10	$3,294.91	$4,309.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,205.10 / $3,040.33 / $4,309.52	Professional		$2,205.10	$3,040.33	$4,309.52
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 $1,576.85 / $3,192.16 / $4,484.10	Professional		$1,576.85	$3,192.16	$4,484.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,074.78 / $2,626.30 / $3,089.80	Professional		$2,074.78	$2,626.30	$3,089.80