Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $4,521.08 / $7,119.04	Facility		$4,277.00	$4,521.08	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.53 / $2,379.52 / $8,627.65	Professional		$1,388.53	$2,379.52	$8,627.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,292.48 / $4,115.60 / $4,250.31	Professional		$3,292.48	$4,115.60	$4,250.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.31 / $2,663.14 / $4,858.16	Professional		$1,490.31	$2,663.14	$4,858.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,788.40 / $4,021.39 / $7,305.00	Facility		$2,788.40	$4,021.39	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,942.36 / $3,603.24 / $6,449.25	Professional		$1,942.36	$3,603.24	$6,449.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,652.88 / $3,603.24 / $4,663.63	Facility		$2,652.88	$3,603.24	$4,663.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,652.88 / $3,603.24 / $4,663.63	Professional		$2,652.88	$3,603.24	$4,663.63
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 $1,745.09 / $3,125.99 / $5,022.83	Professional		$1,745.09	$3,125.99	$5,022.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,512.83 / $3,180.80 / $3,742.10	Professional		$2,512.83	$3,180.80	$3,742.10