Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,051.95 / $5,051.95 / $5,203.51	Facility		$5,051.95	$5,051.95	$5,203.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $5,051.95	Professional		$4,041.56	$4,041.56	$5,051.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $6,408.98 / $10,142.42	Professional		$4,294.16	$6,408.98	$10,142.42
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 $5,051.95 / $6,145.43 / $9,581.54	Facility		$5,051.95	$6,145.43	$9,581.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $7,602.35	Professional		$4,209.96	$4,209.96	$7,602.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,879.91 / $6,337.76 / $10,142.42	Facility		$4,879.91	$6,337.76	$10,142.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,879.91 / $6,337.76 / $10,142.42	Professional		$4,879.91	$6,337.76	$10,142.42
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $4,466.35	Professional		$4,209.96	$4,209.96	$4,466.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,325.87 / $4,209.96 / $4,209.96	Professional		$3,325.87	$4,209.96	$4,209.96