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 $1,124.45 / $1,923.85 / $7,063.98	Professional		$1,124.45	$1,923.85	$7,063.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,669.20 / $3,214.94 / $3,431.24	Professional		$2,669.20	$3,214.94	$3,431.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,196.49 / $2,015.89 / $3,777.99	Professional		$1,196.49	$2,015.89	$3,777.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,279.15 / $3,164.78 / $7,305.00	Facility		$2,279.15	$3,164.78	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,495.20 / $2,935.76 / $5,211.78	Professional		$1,495.20	$2,935.76	$5,211.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,007.02 / $2,935.76 / $3,781.10	Facility		$2,007.02	$2,935.76	$3,781.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,007.02 / $2,794.75 / $3,781.10	Professional		$2,007.02	$2,794.75	$3,781.10
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 $1,410.25 / $2,851.16 / $4,340.38	Professional		$1,410.25	$2,851.16	$4,340.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,024.14 / $2,562.19 / $3,014.40	Professional		$2,024.14	$2,562.19	$3,014.40