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 $1,289.23 / $2,209.23 / $8,011.13	Professional		$1,289.23	$2,209.23	$8,011.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,057.97 / $3,815.96 / $3,946.46	Professional		$3,057.97	$3,815.96	$3,946.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,382.03 / $2,354.29 / $4,339.80	Professional		$1,382.03	$2,354.29	$4,339.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,469.36 / $3,733.60 / $7,305.00	Facility		$2,469.36	$3,733.60	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,770.00 / $3,339.60 / $5,982.51	Professional		$1,770.00	$3,339.60	$5,982.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,255.73 / $3,339.60 / $4,329.07	Facility		$2,255.73	$3,339.60	$4,329.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,255.73 / $3,218.31 / $4,329.07	Professional		$2,255.73	$3,218.31	$4,329.07
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 $1,619.05 / $3,223.72 / $4,659.32	Professional		$1,619.05	$3,223.72	$4,659.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,330.96 / $2,950.60 / $3,471.30	Professional		$2,330.96	$2,950.60	$3,471.30