Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $4,755.24	Professional		$3,570.00	$3,570.00	$4,755.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,665.63 / $6,665.63 / $8,332.03	Professional		$6,665.63	$6,665.63	$8,332.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19,635.00 / $19,635.00 / $19,635.00	Professional		$19,635.00	$19,635.00	$19,635.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,621.21 / $18,102.93 / $18,102.93	Facility		$3,621.21	$18,102.93	$18,102.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,642.20 / $3,256.96 / $4,764.46	Professional		$2,642.20	$3,256.96	$4,764.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,043.93 / $7,307.88 / $7,307.88	Professional		$7,043.93	$7,307.88	$7,307.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,642.20 / $3,256.96 / $4,681.21	Professional		$2,642.20	$3,256.96	$4,681.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8,130.00 / $8,130.00 / $8,130.00	Facility		$8,130.00	$8,130.00	$8,130.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17,669.00 / $17,669.00 / $17,669.00	Professional		$17,669.00	$17,669.00	$17,669.00