Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,663.50	Facility		$1,663.50	$1,663.50	$1,663.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,663.50	Professional		$1,663.50	$1,663.50	$1,663.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,915.00 / $3,954.15 / $4,893.75	Professional		$3,915.00	$3,954.15	$4,893.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,817.66 / $6,817.66 / $6,817.66	Professional		$6,817.66	$6,817.66	$6,817.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,811.32 / $5,204.18	Facility		$100.00	$2,811.32	$5,204.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,441.70 / $1,663.50 / $4,287.77	Professional		$1,441.70	$1,663.50	$4,287.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,944.97 / $3,944.97 / $4,555.51	Professional		$3,944.97	$3,944.97	$4,555.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,441.70 / $1,663.50 / $4,287.77	Professional		$1,441.70	$1,663.50	$4,287.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,708.73 / $3,428.77 / $3,428.77	Professional		$2,708.73	$3,428.77	$3,428.77