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 $1,247.53 / $2,138.13 / $7,759.69	Professional		$1,247.53	$2,138.13	$7,759.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,955.91 / $3,399.66 / $3,819.15	Professional		$2,955.91	$3,399.66	$3,819.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.94 / $2,174.25 / $4,116.20	Professional		$1,337.94	$2,174.25	$4,116.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,247.65 / $3,451.15 / $7,305.00	Facility		$2,247.65	$3,451.15	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,637.59 / $3,248.23 / $5,799.81	Professional		$1,637.59	$3,248.23	$5,799.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,259.27 / $3,114.25 / $4,189.89	Facility		$2,259.27	$3,114.25	$4,189.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,894.00 / $3,114.25 / $3,904.93	Professional		$1,894.00	$3,114.25	$3,904.93
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 $1,569.36 / $3,220.08 / $4,517.02	Professional		$1,569.36	$3,220.08	$4,517.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,255.61 / $2,855.20 / $3,359.00	Professional		$2,255.61	$2,855.20	$3,359.00