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 $854.48 / $1,403.31 / $5,428.75	Professional		$854.48	$1,403.31	$5,428.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.72 / $2,112.14 / $2,640.18	Professional		$1,357.72	$2,112.14	$2,640.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $856.95 / $1,319.38 / $2,239.77	Professional		$856.95	$1,319.38	$2,239.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,092.15 / $2,417.03 / $9,495.24	Facility		$1,092.15	$2,417.03	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $989.79 / $1,609.49 / $2,884.49	Professional		$989.79	$1,609.49	$2,884.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,338.30 / $2,667.35 / $3,914.66	Facility		$1,338.30	$2,667.35	$3,914.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,223.69 / $1,885.97 / $2,667.35	Professional		$1,223.69	$1,885.97	$2,667.35
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 $946.76 / $1,291.04 / $2,390.03	Professional		$946.76	$1,291.04	$2,390.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,328.78 / $1,682.00 / $1,978.80	Professional		$1,328.78	$1,682.00	$1,978.80