Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,625.24 / $3,625.24 / $8,013.23	Facility		$3,625.24	$3,625.24	$8,013.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,900.19 / $2,900.19 / $3,625.24	Professional		$2,900.19	$2,900.19	$3,625.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,367.00 / $2,367.00 / $2,958.75	Professional		$2,367.00	$2,367.00	$2,958.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $3,002.90 / $3,546.09	Professional		$150.00	$3,002.90	$3,546.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,319.35 / $2,904.57 / $3,625.24	Facility		$1,319.35	$2,904.57	$3,625.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,850.36 / $3,021.04 / $3,111.67	Professional		$1,850.36	$3,021.04	$3,111.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,319.35 / $2,843.49 / $5,813.58	Facility		$1,319.35	$2,843.49	$5,813.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,319.35 / $2,087.09 / $3,001.62	Professional		$1,319.35	$2,087.09	$3,001.62
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,111.67	Professional		$3,021.04	$3,021.04	$3,111.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,021.04	Facility		$3,021.04	$3,021.04	$3,021.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,021.04	Professional		$3,021.04	$3,021.04	$3,021.04