Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,489.57 / $6,773.51 / $6,773.51	Facility		$5,489.57	$6,773.51	$6,773.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,136.90 / $3,162.53 / $3,162.53	Professional		$3,136.90	$3,162.53	$3,162.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $5,971.32 / $9,449.83	Professional		$3,384.12	$5,971.32	$9,449.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $798.02 / $4,851.62 / $6,805.94	Facility		$798.02	$4,851.62	$6,805.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $8,400.00	Professional		$4,200.00	$4,200.00	$8,400.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,284.81 / $4,851.62 / $9,272.54	Facility		$1,284.81	$4,851.62	$9,272.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,851.62 / $6,033.97 / $9,449.83	Professional		$4,851.62	$6,033.97	$9,449.83
United Facility/Professional Professional Modifier Low / Median / High Price $3,990.00 / $4,200.00 / $4,455.78	Professional		$3,990.00	$4,200.00	$4,455.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.44 / $798.02 / $798.02	Professional		$630.44	$798.02	$798.02