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 $1,364.32 / $2,338.17 / $8,474.07	Professional		$1,364.32	$2,338.17	$8,474.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,234.82 / $4,029.72 / $4,177.05	Professional		$3,234.82	$4,029.72	$4,177.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.33 / $2,455.10 / $4,586.12	Professional		$1,463.33	$2,455.10	$4,586.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,686.59 / $3,951.52 / $7,305.00	Facility		$2,686.59	$3,951.52	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,867.60 / $3,540.49 / $6,332.93	Professional		$1,867.60	$3,540.49	$6,332.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,439.78 / $3,540.49 / $4,580.45	Facility		$2,439.78	$3,540.49	$4,580.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,439.78 / $3,406.82 / $4,580.45	Professional		$2,439.78	$3,406.82	$4,580.45
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 $1,713.62 / $3,412.42 / $4,932.22	Professional		$1,713.62	$3,412.42	$4,932.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,467.48 / $3,123.40 / $3,674.60	Professional		$2,467.48	$3,123.40	$3,674.60