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 $1,291.27 / $2,212.60 / $8,026.02	Professional		$1,291.27	$2,212.60	$8,026.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,063.42 / $3,829.28 / $3,951.27	Professional		$3,063.42	$3,829.28	$3,951.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.55 / $2,324.19 / $4,382.47	Professional		$1,384.55	$2,324.19	$4,382.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,294.92 / $3,563.51 / $7,305.00	Facility		$2,294.92	$3,563.51	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,783.60 / $3,340.35 / $5,993.78	Professional		$1,783.60	$3,340.35	$5,993.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,398.75 / $3,340.35 / $4,335.95	Facility		$2,398.75	$3,340.35	$4,335.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.75 / $3,224.14 / $4,335.95	Professional		$2,398.75	$3,224.14	$4,335.95
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 $1,621.85 / $3,229.84 / $4,668.09	Professional		$1,621.85	$3,229.84	$4,668.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,335.16 / $2,955.90 / $3,477.50	Professional		$2,335.16	$2,955.90	$3,477.50