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 $1,506.92 / $2,582.92 / $9,355.28	Professional		$1,506.92	$2,582.92	$9,355.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,570.62 / $4,463.27 / $4,614.20	Professional		$3,570.62	$4,463.27	$4,614.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.88 / $2,711.52 / $5,053.14	Professional		$1,616.88	$2,711.52	$5,053.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,656.19 / $4,137.56 / $7,305.00	Facility		$2,656.19	$4,137.56	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,060.80 / $3,910.27 / $6,999.96	Professional		$2,060.80	$3,910.27	$6,999.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,698.68 / $3,910.27 / $5,060.43	Facility		$2,698.68	$3,910.27	$5,060.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,698.68 / $3,762.70 / $5,060.43	Professional		$2,698.68	$3,762.70	$5,060.43
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 $1,894.11 / $3,392.92 / $5,451.74	Professional		$1,894.11	$3,392.92	$5,451.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,725.26 / $3,449.70 / $4,058.50	Professional		$2,725.26	$3,449.70	$4,058.50