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 $931.91 / $1,530.75 / $6,096.17	Professional		$931.91	$1,530.75	$6,096.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,481.62 / $2,303.80 / $2,879.75	Professional		$1,481.62	$2,303.80	$2,879.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $935.60 / $1,468.83 / $2,494.59	Professional		$935.60	$1,468.83	$2,494.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,324.98 / $5,521.00	Facility		$1,285.00	$2,324.98	$5,521.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,107.51 / $1,800.90 / $3,147.28	Professional		$1,107.51	$1,800.90	$3,147.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,471.64 / $1,913.58 / $2,744.27	Facility		$1,471.64	$1,913.58	$2,744.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,359.17 / $2,100.09 / $2,943.52	Professional		$1,359.17	$2,100.09	$2,943.52
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 $1,059.35 / $1,383.46 / $2,656.60	Professional		$1,059.35	$1,383.46	$2,656.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,449.57 / $1,834.90 / $2,158.80	Professional		$1,449.57	$1,834.90	$2,158.80