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 $1,938.91 / $3,307.73 / $12,345.20	Professional		$1,938.91	$3,307.73	$12,345.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,317.97 / $4,828.21 / $5,847.15	Professional		$4,317.97	$4,828.21	$5,847.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,044.37 / $2,875.47 / $4,003.54	Professional		$2,044.37	$2,875.47	$4,003.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,278.03 / $4,939.14 / $7,305.00	Facility		$2,278.03	$4,939.14	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,184.17 / $4,317.97 / $6,875.27	Professional		$2,184.17	$4,317.97	$6,875.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,534.69 / $4,828.21 / $6,460.06	Facility		$2,534.69	$4,828.21	$6,460.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,259.44 / $4,331.02 / $5,946.02	Professional		$2,259.44	$4,331.02	$5,946.02
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 $1,978.00 / $4,068.44 / $6,761.65	Professional		$1,978.00	$4,068.44	$6,761.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,496.94 / $4,426.50 / $5,207.70	Professional		$3,496.94	$4,426.50	$5,207.70