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 $922.44 / $1,515.15 / $6,030.28	Professional		$922.44	$1,515.15	$6,030.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,466.15 / $2,279.65 / $2,849.56	Professional		$1,466.15	$2,279.65	$2,849.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $925.77 / $1,425.48 / $2,416.17	Professional		$925.77	$1,425.48	$2,416.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,653.14 / $9,495.24	Facility		$1,285.00	$2,653.14	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,095.02 / $1,780.60 / $3,117.04	Professional		$1,095.02	$1,780.60	$3,117.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,553.00 / $2,936.00 / $3,914.66	Facility		$1,553.00	$2,936.00	$3,914.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,340.01 / $2,036.61 / $2,971.35	Professional		$1,340.01	$2,036.61	$2,971.35
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 $1,061.49 / $1,428.29 / $2,575.61	Professional		$1,061.49	$1,428.29	$2,575.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,434.64 / $1,816.00 / $2,136.40	Professional		$1,434.64	$1,816.00	$2,136.40