Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.64 / $1,197.83 / $4,770.84	Professional		$729.64	$1,197.83	$4,770.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,158.15 / $1,808.29 / $2,260.36	Professional		$1,158.15	$1,808.29	$2,260.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $731.15 / $1,127.58 / $1,912.72	Professional		$731.15	$1,127.58	$1,912.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,017.82 / $2,143.98 / $9,495.24	Facility		$1,017.82	$2,143.98	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $861.84 / $1,401.43 / $2,462.13	Professional		$861.84	$1,401.43	$2,462.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $2,378.37 / $3,914.66	Facility		$1,218.00	$2,378.37	$3,914.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,070.32 / $1,612.12 / $2,335.55	Professional		$1,070.32	$1,612.12	$2,335.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,717.39 / $7,091.00 / $10,320.00	Facility		$4,717.39	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.37 / $1,124.15 / $2,003.12	Professional		$824.37	$1,124.15	$2,003.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,135.31 / $1,437.10 / $1,690.70	Professional		$1,135.31	$1,437.10	$1,690.70