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 $1,272.40 / $2,166.62 / $8,061.87	Professional		$1,272.40	$2,166.62	$8,061.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,055.63 / $3,438.12 / $3,840.77	Professional		$3,055.63	$3,438.12	$3,840.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,331.74 / $2,276.56 / $4,015.28	Professional		$1,331.74	$2,276.56	$4,015.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,054.05 / $3,411.10 / $7,305.00	Facility		$2,054.05	$3,411.10	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,638.36 / $3,266.75 / $5,692.62	Professional		$1,638.36	$3,266.75	$5,692.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,190.66 / $3,266.75 / $4,265.45	Facility		$2,190.66	$3,266.75	$4,265.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,190.66 / $3,135.35 / $4,265.45	Professional		$2,190.66	$3,135.35	$4,265.45
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 $1,570.10 / $3,172.07 / $4,576.42	Professional		$1,570.10	$3,172.07	$4,576.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,270.86 / $2,874.50 / $3,381.80	Professional		$2,270.86	$2,874.50	$3,381.80