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 $1,302.34 / $2,231.77 / $8,094.24	Professional		$1,302.34	$2,231.77	$8,094.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,089.13 / $3,854.93 / $3,986.09	Professional		$3,089.13	$3,854.93	$3,986.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.45 / $2,403.62 / $4,383.70	Professional		$1,396.45	$2,403.62	$4,383.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,615.83 / $3,722.32 / $7,305.00	Facility		$2,615.83	$3,722.32	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,791.60 / $3,374.63 / $6,045.16	Professional		$1,791.60	$3,374.63	$6,045.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,292.30 / $3,374.63 / $4,372.06	Facility		$2,292.30	$3,374.63	$4,372.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,292.30 / $3,251.79 / $4,372.06	Professional		$2,292.30	$3,251.79	$4,372.06
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 $1,643.72 / $3,284.82 / $4,708.10	Professional		$1,643.72	$3,284.82	$4,708.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,355.23 / $2,981.30 / $3,507.40	Professional		$2,355.23	$2,981.30	$3,507.40