Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.01 / $2,267.46 / $2,418.12	Professional		$1,431.01	$2,267.46	$2,418.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,896.01 / $3,565.07 / $4,413.60	Professional		$2,896.01	$3,565.07	$4,413.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.27 / $2,326.67 / $4,927.54	Professional		$1,555.27	$2,326.67	$4,927.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,174.48 / $3,491.89 / $4,732.75	Facility		$2,174.48	$3,491.89	$4,732.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,644.65 / $3,085.47 / $11,909.60	Professional		$1,644.65	$3,085.47	$11,909.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,790.00 / $3,565.07 / $4,591.35	Facility		$2,790.00	$3,565.07	$4,591.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,226.09 / $3,510.37 / $4,591.35	Professional		$2,226.09	$3,510.37	$4,591.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,569.90 / $2,392.21 / $4,485.42	Professional		$1,569.90	$2,392.21	$4,485.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,600.84 / $3,292.20 / $3,873.10	Professional		$2,600.84	$3,292.20	$3,873.10