Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $4,105.50	Professional		$3,864.00	$3,864.00	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,024.00 / $3,639.96 / $4,081.65	Professional		$3,024.00	$3,639.96	$4,081.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $2,754.00 / $3,378.00	Professional		$150.00	$2,754.00	$3,378.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,864.00 / $4,830.00 / $6,568.80	Facility		$3,864.00	$4,830.00	$6,568.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,081.65 / $4,200.00 / $8,400.00	Professional		$4,081.65	$4,200.00	$8,400.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,417.36 / $4,006.80 / $4,576.66	Facility		$3,417.36	$4,006.80	$4,576.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,512.80 / $3,730.96 / $4,576.66	Professional		$3,512.80	$3,730.96	$4,576.66
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $5,464.20	Professional		$4,200.00	$4,200.00	$5,464.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $2,800.00 / $2,800.00	Facility		$2,800.00	$2,800.00	$2,800.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,212.00 / $2,800.00 / $2,800.00	Professional		$2,212.00	$2,800.00	$2,800.00