Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $4,840.17 / $6,770.30	Facility		$2,488.00	$4,840.17	$6,770.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,724.32 / $6,724.32 / $6,724.32	Professional		$6,724.32	$6,724.32	$6,724.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $4,519.33 / $5,649.17	Professional		$2,859.20	$4,519.33	$5,649.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,114.80 / $3,234.40 / $4,503.28	Professional		$2,114.80	$3,234.40	$4,503.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $3,210.59 / $9,348.09	Facility		$2,488.00	$3,210.59	$9,348.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,492.80 / $1,492.80 / $6,292.15	Professional		$1,492.80	$1,492.80	$6,292.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,988.06 / $4,549.93 / $5,452.67	Facility		$2,988.06	$4,549.93	$5,452.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,985.60 / $4,896.22 / $6,493.68	Professional		$2,985.60	$4,896.22	$6,493.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,492.80 / $1,492.80 / $5,423.84	Professional		$1,492.80	$1,492.80	$5,423.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,965.52 / $2,488.00 / $2,488.00	Professional		$1,965.52	$2,488.00	$2,488.00