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 $1,133.42 / $1,941.68 / $7,047.80	Professional		$1,133.42	$1,941.68	$7,047.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.79 / $3,349.50 / $3,467.26	Professional		$2,691.79	$3,349.50	$3,467.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.93 / $2,040.45 / $3,825.22	Professional		$1,214.93	$2,040.45	$3,825.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,215.00 / $3,349.50 / $7,305.00	Facility		$2,215.00	$3,349.50	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,544.80 / $2,983.53 / $5,252.96	Professional		$1,544.80	$2,983.53	$5,252.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,266.46 / $2,937.77 / $3,804.83	Facility		$2,266.46	$2,937.77	$3,804.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,266.46 / $2,883.15 / $3,804.83	Professional		$2,266.46	$2,883.15	$3,804.83
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 $1,483.19 / $2,924.23 / $4,427.81	Professional		$1,483.19	$2,924.23	$4,427.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,050.52 / $2,595.60 / $3,053.70	Professional		$2,050.52	$2,595.60	$3,053.70