Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.21 / $1,509.70 / $1,630.58	Professional		$943.21	$1,509.70	$1,630.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,897.36 / $2,314.71 / $2,893.38	Professional		$1,897.36	$2,314.71	$2,893.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $936.89 / $1,527.64 / $3,905.53	Professional		$936.89	$1,527.64	$3,905.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,485.67 / $2,520.98 / $11,869.99	Facility		$1,485.67	$2,520.98	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,107.92 / $2,045.47 / $13,778.46	Professional		$1,107.92	$2,045.47	$13,778.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,897.36 / $2,689.94 / $5,383.60	Facility		$1,897.36	$2,689.94	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,549.40 / $2,227.79 / $3,125.38	Professional		$1,549.40	$2,227.79	$3,125.38
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 $1,053.59 / $1,611.52 / $3,001.46	Professional		$1,053.59	$1,611.52	$3,001.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,551.88 / $1,964.40 / $2,311.10	Professional		$1,551.88	$1,964.40	$2,311.10