Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $7,119.04 / $12,885.00	Facility		$4,014.00	$7,119.04	$12,885.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,014.00 / $4,014.00 / $7,592.00	Professional		$4,014.00	$4,014.00	$7,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,110.57 / $2,398.38 / $2,398.38	Professional		$2,110.57	$2,398.38	$2,398.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $6,543.34 / $7,346.97	Professional		$150.00	$6,543.34	$7,346.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.84 / $2,650.96 / $11,495.00	Facility		$407.84	$2,650.96	$11,495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.45 / $703.20 / $1,858.31	Professional		$361.45	$703.20	$1,858.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $492.22 / $628.28 / $798.23	Facility		$492.22	$628.28	$798.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.22 / $678.43 / $1,108.80	Professional		$492.22	$678.43	$1,108.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $346.39 / $647.96 / $939.20	Professional		$346.39	$647.96	$939.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,403.20 / $1,776.20 / $2,089.69	Professional		$1,403.20	$1,776.20	$2,089.69