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 $665.21 / $1,111.92 / $1,168.42	Professional		$665.21	$1,111.92	$1,168.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.51 / $1,672.73 / $2,090.91	Professional		$1,306.51	$1,672.73	$2,090.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $682.23 / $1,041.34 / $2,334.98	Professional		$682.23	$1,041.34	$2,334.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.57 / $1,811.05 / $9,224.20	Facility		$1,000.57	$1,811.05	$9,224.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $775.79 / $1,467.38 / $6,323.73	Professional		$775.79	$1,467.38	$6,323.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,358.76 / $1,852.05 / $5,383.60	Facility		$1,358.76	$1,852.05	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,123.89 / $1,639.73 / $2,207.69	Professional		$1,123.89	$1,639.73	$2,207.69
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 $740.52 / $1,138.35 / $2,295.83	Professional		$740.52	$1,138.35	$2,295.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,142.26 / $1,445.90 / $1,701.00	Professional		$1,142.26	$1,445.90	$1,701.00