Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,968.80 / $5,968.80 / $11,423.90	Facility		$5,968.80	$5,968.80	$11,423.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,968.80 / $10,407.00	Professional		$5,168.22	$5,968.80	$10,407.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,062.31 / $5,062.31 / $6,327.89	Professional		$5,062.31	$5,062.31	$6,327.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $946.59 / $4,483.13 / $5,168.22	Professional		$946.59	$4,483.13	$5,168.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $683.00 / $5,520.98 / $6,590.97	Facility		$683.00	$5,520.98	$6,590.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,987.43 / $4,968.58 / $6,860.75	Professional		$1,987.43	$4,968.58	$6,860.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,920.43 / $7,604.97 / $10,139.95	Facility		$3,920.43	$7,604.97	$10,139.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $989.56 / $5,667.23 / $7,604.97	Professional		$989.56	$5,667.23	$7,604.97
United Facility/Professional Professional Modifier Low / Median / High Price $4,548.04 / $5,168.22 / $5,271.59	Professional		$4,548.04	$5,168.22	$5,271.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $4,968.58 / $4,968.58	Facility		$4,968.58	$4,968.58	$4,968.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,968.58 / $4,968.58 / $4,968.58	Professional		$4,968.58	$4,968.58	$4,968.58