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 $1,445.38 / $2,477.34 / $8,977.40	Professional		$1,445.38	$2,477.34	$8,977.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,425.70 / $4,282.13 / $4,425.64	Professional		$3,425.70	$4,282.13	$4,425.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.63 / $2,600.98 / $4,854.39	Professional		$1,550.63	$2,600.98	$4,854.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,776.63 / $4,116.54 / $7,305.00	Facility		$2,776.63	$4,116.54	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,022.02 / $3,752.80 / $6,713.73	Professional		$2,022.02	$3,752.80	$6,713.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,639.39 / $3,752.80 / $4,853.71	Facility		$2,639.39	$3,752.80	$4,853.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,639.39 / $3,609.14 / $4,853.71	Professional		$2,639.39	$3,609.14	$4,853.71
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 $1,816.66 / $3,617.34 / $5,228.81	Professional		$1,816.66	$3,617.34	$5,228.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,614.03 / $3,308.90 / $3,892.80	Professional		$2,614.03	$3,308.90	$3,892.80