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 $2,034.14 / $3,470.52 / $12,949.80	Professional		$2,034.14	$3,470.52	$12,949.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,905.99 / $5,268.59 / $6,132.49	Professional		$4,905.99	$5,268.59	$6,132.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,145.69 / $3,018.52 / $4,237.09	Professional		$2,145.69	$3,018.52	$4,237.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,194.73 / $5,183.49 / $7,305.00	Facility		$2,194.73	$5,183.49	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.56 / $5,028.55 / $7,217.49	Professional		$2,398.56	$5,028.55	$7,217.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,693.00 / $5,066.18 / $6,779.66	Facility		$2,693.00	$5,066.18	$6,779.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,693.00 / $5,066.18 / $6,242.00	Professional		$2,693.00	$5,066.18	$6,242.00
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 $2,220.34 / $4,669.93 / $7,098.21	Professional		$2,220.34	$4,669.93	$7,098.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,669.31 / $4,644.70 / $5,464.40	Professional		$3,669.31	$4,644.70	$5,464.40