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 $857.86 / $1,414.49 / $5,549.16	Professional		$857.86	$1,414.49	$5,549.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,432.54 / $2,217.32 / $2,771.65	Professional		$1,432.54	$2,217.32	$2,771.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $904.39 / $1,373.80 / $2,322.30	Professional		$904.39	$1,373.80	$2,322.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,153.06 / $2,500.51 / $9,495.24	Facility		$1,153.06	$2,500.51	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,025.32 / $1,667.25 / $2,938.70	Professional		$1,025.32	$1,667.25	$2,938.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,394.38 / $2,784.55 / $3,914.66	Facility		$1,394.38	$2,784.55	$3,914.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,286.39 / $1,956.95 / $2,784.55	Professional		$1,286.39	$1,956.95	$2,784.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.74 / $1,426.53 / $2,466.51	Professional		$980.74	$1,426.53	$2,466.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,398.54 / $1,770.30 / $2,082.69	Professional		$1,398.54	$1,770.30	$2,082.69