Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,427.09 / $3,089.00 / $6,298.62	Facility		$2,427.09	$3,089.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.58 / $1,277.42 / $4,201.00	Professional		$846.58	$1,277.42	$4,201.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.28 / $2,255.46 / $2,891.43	Professional		$1,169.28	$2,255.46	$2,891.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $773.57 / $1,305.33 / $2,163.42	Professional		$773.57	$1,305.33	$2,163.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,126.02 / $2,043.51 / $5,023.00	Facility		$1,126.02	$2,043.51	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,045.20 / $1,969.07 / $6,304.16	Professional		$1,045.20	$1,969.07	$6,304.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,471.64 / $1,962.18 / $2,584.57	Facility		$1,471.64	$1,962.18	$2,584.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,367.00 / $2,092.19 / $2,679.41	Professional		$1,367.00	$2,092.19	$2,679.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.83 / $1,425.27 / $2,478.34	Professional		$1,025.83	$1,425.27	$2,478.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,415.92 / $1,784.20 / $2,108.50	Professional		$1,415.92	$1,784.20	$2,108.50