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 $1,361.35 / $2,319.38 / $8,618.04	Professional		$1,361.35	$2,319.38	$8,618.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,262.09 / $3,678.40 / $4,104.79	Professional		$3,262.09	$3,678.40	$4,104.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.60 / $2,435.54 / $4,303.12	Professional		$1,427.60	$2,435.54	$4,303.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,270.16 / $3,653.78 / $7,305.00	Facility		$2,270.16	$3,653.78	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,759.86 / $3,503.69 / $6,199.21	Professional		$1,759.86	$3,503.69	$6,199.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,352.82 / $3,503.69 / $4,566.58	Facility		$2,352.82	$3,503.69	$4,566.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,352.82 / $3,355.13 / $4,566.58	Professional		$2,352.82	$3,355.13	$4,566.58
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 $1,686.53 / $3,021.09 / $4,774.06	Professional		$1,686.53	$3,021.09	$4,774.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,430.04 / $3,076.00 / $3,618.90	Professional		$2,430.04	$3,076.00	$3,618.90