Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $6,847.83 / $9,578.54	Facility		$3,520.00	$6,847.83	$9,578.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,513.50 / $9,513.50 / $9,513.50	Professional		$9,513.50	$9,513.50	$9,513.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,044.92 / $6,393.52 / $7,991.90	Professional		$4,044.92	$6,393.52	$7,991.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,992.00 / $4,576.00 / $6,371.20	Professional		$2,992.00	$4,576.00	$6,371.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $4,542.32 / $13,841.35	Facility		$3,520.00	$4,542.32	$13,841.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,112.00 / $2,112.00 / $8,902.08	Professional		$2,112.00	$2,112.00	$8,902.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,227.49 / $6,437.20 / $9,789.12	Facility		$4,227.49	$6,437.20	$9,789.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,224.00 / $7,251.20 / $9,187.20	Professional		$4,224.00	$7,251.20	$9,187.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,112.00 / $2,112.00 / $8,902.08	Professional		$2,112.00	$2,112.00	$8,902.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,780.80 / $3,520.00 / $3,520.00	Professional		$2,780.80	$3,520.00	$3,520.00