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 $1,457.55 / $2,498.01 / $9,052.74	Professional		$1,457.55	$2,498.01	$9,052.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,454.53 / $4,318.16 / $4,461.68	Professional		$3,454.53	$4,318.16	$4,461.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,564.11 / $2,623.36 / $4,893.41	Professional		$1,564.11	$2,623.36	$4,893.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,819.40 / $4,175.49 / $7,305.00	Facility		$2,819.40	$4,175.49	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,017.60 / $3,766.09 / $6,770.59	Professional		$2,017.60	$3,766.09	$6,770.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,566.50 / $3,766.09 / $4,895.45	Facility		$2,566.50	$3,766.09	$4,895.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,566.50 / $3,640.43 / $4,895.45	Professional		$2,566.50	$3,640.43	$4,895.45
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 $1,832.04 / $3,840.02 / $5,185.95	Professional		$1,832.04	$3,840.02	$5,185.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,636.70 / $3,337.60 / $3,926.60	Professional		$2,636.70	$3,337.60	$3,926.60