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 $1,252.55 / $2,133.15 / $7,929.90	Professional		$1,252.55	$2,133.15	$7,929.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,004.21 / $3,383.41 / $3,781.92	Professional		$3,004.21	$3,383.41	$3,781.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.80 / $2,239.75 / $3,895.60	Professional		$1,310.80	$2,239.75	$3,895.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,507.66 / $3,383.41 / $7,305.00	Facility		$2,507.66	$3,383.41	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,613.86 / $3,217.93 / $5,671.34	Professional		$1,613.86	$3,217.93	$5,671.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,114.78 / $3,217.93 / $4,199.56	Facility		$2,114.78	$3,217.93	$4,199.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,114.78 / $3,084.39 / $4,199.56	Professional		$2,114.78	$3,084.39	$4,199.56
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 $1,546.61 / $2,770.45 / $4,377.99	Professional		$1,546.61	$2,770.45	$4,377.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,233.96 / $2,827.80 / $3,326.80	Professional		$2,233.96	$2,827.80	$3,326.80