Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.45 / $3,615.87 / $5,023.97	Professional		$961.45	$3,615.87	$5,023.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,420.77 / $4,548.97 / $6,907.42	Professional		$1,420.77	$4,548.97	$6,907.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $475.34 / $783.88 / $4,296.08	Professional		$475.34	$783.88	$4,296.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,532.28 / $5,626.86 / $8,656.04	Facility		$1,532.28	$5,626.86	$8,656.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,554.54 / $5,009.85 / $13,313.45	Professional		$2,554.54	$5,009.85	$13,313.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,176.17 / $4,986.49 / $8,302.87	Facility		$2,176.17	$4,986.49	$8,302.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,110.10 / $6,460.48 / $8,571.43	Professional		$1,110.10	$6,460.48	$8,571.43
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,679.82 / $4,427.43 / $8,795.83	Professional		$2,679.82	$4,427.43	$8,795.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $802.01 / $1,015.20 / $1,194.40	Professional		$802.01	$1,015.20	$1,194.40