Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $4,644.00 / $4,783.32	Facility		$4,644.00	$4,644.00	$4,783.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $4,644.00	Professional		$3,715.20	$3,715.20	$4,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,933.75 / $4,917.18 / $4,917.18	Professional		$3,933.75	$4,917.18	$4,917.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $6,590.79 / $6,729.79	Professional		$150.00	$6,590.79	$6,729.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,914.61 / $5,721.41 / $11,013.31	Facility		$1,914.61	$5,721.41	$11,013.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $11,013.31	Professional		$3,870.00	$3,870.00	$11,013.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,082.52 / $7,466.84 / $15,004.73	Facility		$3,082.52	$7,466.84	$15,004.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,466.84 / $9,764.12 / $15,346.84	Professional		$7,466.84	$9,764.12	$15,346.84
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $4,105.68	Professional		$3,870.00	$3,870.00	$4,105.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,301.88 / $4,179.60 / $4,179.60	Professional		$3,301.88	$4,179.60	$4,179.60