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 $1,436.79 / $2,462.50 / $9,614.14	Professional		$1,436.79	$2,462.50	$9,614.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,405.45 / $4,256.81 / $4,424.39	Professional		$3,405.45	$4,256.81	$4,424.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,541.22 / $2,585.19 / $4,823.89	Professional		$1,541.22	$2,585.19	$4,823.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,545.90 / $4,105.49 / $7,305.00	Facility		$2,545.90	$4,105.49	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,992.78 / $3,769.60 / $7,057.76	Professional		$1,992.78	$3,769.60	$7,057.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,666.73 / $3,723.67 / $4,825.74	Facility		$2,666.73	$3,723.67	$4,825.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,666.73 / $3,587.31 / $4,825.74	Professional		$2,666.73	$3,587.31	$4,825.74
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 $1,909.75 / $3,420.94 / $5,459.06	Professional		$1,909.75	$3,420.94	$5,459.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,598.23 / $3,288.90 / $3,869.30	Professional		$2,598.23	$3,288.90	$3,869.30