Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,090.00 / $11,611.47	Facility		$5,091.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.87 / $990.75 / $1,181.49	Professional		$665.87	$990.75	$1,181.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,696.88 / $2,121.10	Professional		$1,275.00	$1,696.88	$2,121.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $677.05 / $1,072.53 / $4,206.72	Professional		$677.05	$1,072.53	$4,206.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $879.02 / $1,783.54 / $9,224.20	Facility		$879.02	$1,783.54	$9,224.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $770.34 / $1,393.23 / $7,654.52	Professional		$770.34	$1,393.23	$7,654.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,374.54 / $1,829.99 / $6,780.09	Facility		$1,374.54	$1,829.99	$6,780.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,011.17 / $1,553.44 / $2,287.71	Professional		$1,011.17	$1,553.44	$2,287.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.82 / $1,163.92 / $2,348.78	Professional		$763.82	$1,163.92	$2,348.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,144.79 / $1,449.10 / $1,704.80	Professional		$1,144.79	$1,449.10	$1,704.80