Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,655.00 / $3,655.00 / $8,079.01	Facility		$3,655.00	$3,655.00	$8,079.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,924.00 / $2,924.00 / $3,655.00	Professional		$2,924.00	$2,924.00	$3,655.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,805.00 / $2,994.46 / $3,506.25	Professional		$2,805.00	$2,994.46	$3,506.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $4,096.80 / $4,096.80	Professional		$150.00	$4,096.80	$4,096.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3,163.15 / $3,655.00	Facility		$1.00	$3,163.15	$3,655.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,137.20	Professional		$3,045.83	$3,045.83	$3,137.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,402.80 / $5,235.83 / $7,647.48	Facility		$3,402.80	$5,235.83	$7,647.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,402.80 / $3,402.80 / $3,402.80	Professional		$3,402.80	$3,402.80	$3,402.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,137.20	Professional		$3,045.83	$3,045.83	$3,137.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,045.83	Facility		$3,045.83	$3,045.83	$3,045.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,045.83	Professional		$3,045.83	$3,045.83	$3,045.83