Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,130.09 / $6,130.09 / $6,130.09	Facility		$6,130.09	$6,130.09	$6,130.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,904.07 / $4,904.07 / $6,130.09	Professional		$4,904.07	$4,904.07	$6,130.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,542.13 / $3,177.66 / $5,143.76	Professional		$2,542.13	$3,177.66	$5,143.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $10,242.00 / $10,458.00	Professional		$150.00	$10,242.00	$10,458.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,074.81 / $4,113.42 / $9,780.33	Facility		$2,074.81	$4,113.42	$9,780.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,646.86 / $5,108.41 / $6,998.52	Professional		$3,646.86	$5,108.41	$6,998.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,788.82 / $5,143.76 / $8,761.58	Facility		$2,788.82	$5,143.76	$8,761.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,532.19 / $3,664.55 / $5,604.19	Professional		$2,532.19	$3,664.55	$5,604.19
United Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,108.41 / $5,419.51	Professional		$5,108.41	$5,108.41	$5,419.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,053.47 / $7,662.62 / $7,662.62	Professional		$6,053.47	$7,662.62	$7,662.62