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 $1,504.82 / $2,564.67 / $9,516.23	Professional		$1,504.82	$2,564.67	$9,516.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,597.88 / $4,066.31 / $4,548.14	Professional		$3,597.88	$4,066.31	$4,548.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.40 / $2,690.33 / $4,752.93	Professional		$1,578.40	$2,690.33	$4,752.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,533.52 / $3,964.66 / $7,305.00	Facility		$2,533.52	$3,964.66	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,948.44 / $3,888.98 / $6,900.73	Professional		$1,948.44	$3,888.98	$6,900.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,533.58 / $3,888.98 / $5,049.26	Facility		$2,533.58	$3,888.98	$5,049.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,533.58 / $3,705.93 / $5,049.26	Professional		$2,533.58	$3,705.93	$5,049.26
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 $1,867.26 / $3,774.32 / $5,285.63	Professional		$1,867.26	$3,774.32	$5,285.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,684.10 / $3,397.60 / $3,997.20	Professional		$2,684.10	$3,397.60	$3,997.20