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 $1,619.43 / $2,776.01 / $10,050.70	Professional		$1,619.43	$2,776.01	$10,050.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,836.29 / $4,795.35 / $4,958.89	Professional		$3,836.29	$4,795.35	$4,958.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.99 / $2,914.79 / $5,423.84	Professional		$1,738.99	$2,914.79	$5,423.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,867.80 / $4,481.22 / $7,305.00	Facility		$2,867.80	$4,481.22	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,213.61 / $4,185.39 / $7,527.18	Professional		$2,213.61	$4,185.39	$7,527.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,848.90 / $4,185.39 / $5,439.78	Facility		$2,848.90	$4,185.39	$5,439.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,848.90 / $4,045.82 / $5,439.78	Professional		$2,848.90	$4,045.82	$5,439.78
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 $2,045.20 / $4,091.18 / $5,862.34	Professional		$2,045.20	$4,091.18	$5,862.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,930.27 / $3,709.20 / $4,363.80	Professional		$2,930.27	$3,709.20	$4,363.80