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 $1,543.88 / $2,646.20 / $9,590.53	Professional		$1,543.88	$2,646.20	$9,590.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,658.65 / $4,566.31 / $4,663.39	Professional		$3,658.65	$4,566.31	$4,663.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.03 / $2,626.73 / $4,872.96	Professional		$1,657.03	$2,626.73	$4,872.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,459.28 / $4,155.18 / $7,305.00	Facility		$2,459.28	$4,155.18	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,146.27 / $4,086.80 / $7,848.31	Professional		$2,146.27	$4,086.80	$7,848.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,712.03 / $3,998.47 / $5,186.37	Facility		$2,712.03	$3,998.47	$5,186.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,563.83 / $3,855.87 / $5,186.37	Professional		$2,563.83	$3,855.87	$5,186.37
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 $1,942.07 / $3,866.68 / $5,963.19	Professional		$1,942.07	$3,866.68	$5,963.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,792.73 / $3,535.10 / $4,158.89	Professional		$2,792.73	$3,535.10	$4,158.89