Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.99 / $1,379.98 / $5,478.45	Professional		$838.99	$1,379.98	$5,478.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,355.46 / $2,087.98 / $2,609.98	Professional		$1,355.46	$2,087.98	$2,609.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $853.36 / $1,313.43 / $2,227.39	Professional		$853.36	$1,313.43	$2,227.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $2,256.42 / $7,350.19	Facility		$1,089.00	$2,256.42	$7,350.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,002.27 / $1,629.78 / $2,837.12	Professional		$1,002.27	$1,629.78	$2,837.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,384.40 / $2,050.92 / $2,732.38	Facility		$1,384.40	$2,050.92	$2,732.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,224.94 / $1,877.26 / $2,732.38	Professional		$1,224.94	$1,877.26	$2,732.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $969.21 / $1,394.24 / $2,533.55	Professional		$969.21	$1,394.24	$2,533.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,319.85 / $1,670.70 / $1,965.60	Professional		$1,319.85	$1,670.70	$1,965.60