Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,295.32 / $6,295.32 / $13,915.20	Facility		$6,295.32	$6,295.32	$13,915.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,036.26 / $5,036.26 / $6,295.32	Professional		$5,036.26	$5,036.26	$6,295.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,718.88 / $4,648.59 / $4,648.59	Professional		$3,718.88	$4,648.59	$4,648.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $5,234.80 / $5,234.80	Professional		$150.00	$5,234.80	$5,234.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,859.01 / $4,859.01 / $6,495.55	Facility		$4,859.01	$4,859.01	$6,495.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,403.48	Professional		$5,246.10	$5,246.10	$5,403.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,300.52 / $8,032.17 / $11,565.83	Facility		$6,300.52	$8,032.17	$11,565.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,300.52 / $6,300.52 / $6,300.52	Professional		$6,300.52	$6,300.52	$6,300.52
United Facility/Professional Facility Modifier Low / Median / High Price $8,011.25 / $8,011.25 / $8,011.25	Facility		$8,011.25	$8,011.25	$8,011.25
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,565.59	Professional		$5,246.10	$5,246.10	$5,565.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,246.10	Facility		$5,246.10	$5,246.10	$5,246.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,246.10	Professional		$5,246.10	$5,246.10	$5,246.10