Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $8,042.03	Facility		$3,496.00	$4,964.00	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.69 / $1,631.37 / $1,919.23	Professional		$949.69	$1,631.37	$1,919.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,064.00 / $2,414.96 / $2,873.91	Professional		$2,064.00	$2,414.96	$2,873.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $962.77 / $1,584.65 / $4,949.56	Professional		$962.77	$1,584.65	$4,949.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,563.33 / $2,580.21 / $9,224.20	Facility		$1,563.33	$2,580.21	$9,224.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,168.69 / $2,215.42 / $7,521.36	Professional		$1,168.69	$2,215.42	$7,521.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,064.00 / $2,752.80 / $6,782.58	Facility		$2,064.00	$2,752.80	$6,782.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,786.44 / $2,329.40 / $3,194.20	Professional		$1,786.44	$2,329.40	$3,194.20
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 $1,149.81 / $1,699.91 / $3,455.31	Professional		$1,149.81	$1,699.91	$3,455.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,543.27 / $1,953.50 / $2,298.19	Professional		$1,543.27	$1,953.50	$2,298.19