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 $1,351.87 / $2,316.85 / $8,398.37	Professional		$1,351.87	$2,316.85	$8,398.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,205.22 / $4,006.52 / $4,138.62	Professional		$3,205.22	$4,006.52	$4,138.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.72 / $2,517.81 / $4,665.38	Professional		$1,450.72	$2,517.81	$4,665.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,714.50 / $3,915.48 / $7,305.00	Facility		$2,714.50	$3,915.48	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,857.60 / $3,575.38 / $6,279.08	Professional		$1,857.60	$3,575.38	$6,279.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,485.81 / $3,725.81 / $4,539.78	Facility		$2,485.81	$3,725.81	$4,539.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,485.81 / $3,440.54 / $4,539.78	Professional		$2,485.81	$3,440.54	$4,539.78
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 $1,699.04 / $3,489.23 / $4,890.29	Professional		$1,699.04	$3,489.23	$4,890.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,445.84 / $3,096.00 / $3,642.40	Professional		$2,445.84	$3,096.00	$3,642.40