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 $683.80 / $2,452.42 / $4,189.57	Professional		$683.80	$2,452.42	$4,189.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,531.70 / $5,139.00 / $7,505.65	Professional		$1,531.70	$5,139.00	$7,505.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $678.45 / $3,305.91 / $4,729.84	Professional		$678.45	$3,305.91	$4,729.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,161.34 / $4,217.00 / $8,604.91	Facility		$1,161.34	$4,217.00	$8,604.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,081.12 / $5,544.36 / $19,122.08	Professional		$2,081.12	$5,544.36	$19,122.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,665.47 / $5,544.36 / $7,301.64	Facility		$1,665.47	$5,544.36	$7,301.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,482.53 / $4,840.75 / $7,593.51	Professional		$1,482.53	$4,840.75	$7,593.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,854.53 / $8,342.00	Facility		$3,711.00	$5,854.53	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,801.59 / $4,047.30 / $7,951.18	Professional		$2,801.59	$4,047.30	$7,951.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,307.20 / $1,537.90 / $5,751.60	Professional		$1,307.20	$1,537.90	$5,751.60