Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,075.03 / $5,075.03 / $14,392.12	Professional		$5,075.03	$5,075.03	$14,392.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,750.13 / $7,750.13 / $9,687.66	Professional		$7,750.13	$7,750.13	$9,687.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24,310.00 / $24,310.00 / $24,310.00	Professional		$24,310.00	$24,310.00	$24,310.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,210.21 / $21,047.41 / $21,047.41	Facility		$4,210.21	$21,047.41	$21,047.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,071.94 / $3,786.71 / $6,107.03	Professional		$3,071.94	$3,786.71	$6,107.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,220.87 / $8,528.92 / $8,528.92	Professional		$8,220.87	$8,528.92	$8,528.92
United Facility/Professional Professional Modifier Low / Median / High Price $3,071.94 / $3,786.71 / $5,442.60	Professional		$3,071.94	$3,786.71	$5,442.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9,453.00 / $9,453.00 / $9,453.00	Facility		$9,453.00	$9,453.00	$9,453.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26,447.00 / $26,447.00 / $26,447.00	Professional		$26,447.00	$26,447.00	$26,447.00