Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,833.91 / $8,833.91 / $9,629.75	Facility		$8,833.91	$8,833.91	$9,629.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,688.25 / $5,940.00 / $5,944.91	Professional		$5,688.25	$5,940.00	$5,944.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,207.50 / $6,682.50 / $8,662.50	Professional		$4,207.50	$6,682.50	$8,662.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,811.50 / $5,907.83 / $23,512.50	Facility		$3,811.50	$5,907.83	$23,512.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,507.95 / $2,588.65 / $24,651.00	Professional		$1,507.95	$2,588.65	$24,651.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,243.18 / $5,940.00 / $10,197.00	Facility		$3,243.18	$5,940.00	$10,197.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,816.04 / $5,940.00 / $9,442.96	Professional		$3,816.04	$5,940.00	$9,442.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,507.95 / $1,507.95 / $6,356.01	Professional		$1,507.95	$1,507.95	$6,356.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,950.00 / $4,950.00 / $4,950.00	Professional		$4,950.00	$4,950.00	$4,950.00