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 $1,196.50 / $2,050.03 / $7,438.08	Professional		$1,196.50	$2,050.03	$7,438.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,839.82 / $3,549.77 / $3,661.82	Professional		$2,839.82	$3,549.77	$3,661.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.78 / $2,153.61 / $4,033.74	Professional		$1,282.78	$2,153.61	$4,033.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,403.11 / $3,423.90 / $7,305.00	Facility		$2,403.11	$3,423.90	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,643.21 / $3,090.68 / $5,548.63	Professional		$1,643.21	$3,090.68	$5,548.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,092.65 / $3,090.68 / $4,017.18	Facility		$2,092.65	$3,090.68	$4,017.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,092.65 / $2,988.34 / $4,017.18	Professional		$2,092.65	$2,988.34	$4,017.18
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 $1,501.39 / $2,689.45 / $4,249.99	Professional		$1,501.39	$2,689.45	$4,249.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,164.36 / $2,739.70 / $3,223.20	Professional		$2,164.36	$2,739.70	$3,223.20