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 $776.89 / $1,331.04 / $1,361.07	Professional		$776.89	$1,331.04	$1,361.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,588.00 / $1,966.52 / $2,428.84	Professional		$1,588.00	$1,966.52	$2,428.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.31 / $1,216.89 / $2,525.09	Professional		$794.31	$1,216.89	$2,525.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,361.07 / $2,105.37 / $11,869.99	Facility		$1,361.07	$2,105.37	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $913.53 / $1,737.58 / $13,243.52	Professional		$913.53	$1,737.58	$13,243.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,588.00 / $2,240.51 / $6,258.17	Facility		$1,588.00	$2,240.51	$6,258.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,336.55 / $1,861.70 / $2,613.33	Professional		$1,336.55	$1,861.70	$2,613.33
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 $853.70 / $1,328.77 / $2,474.83	Professional		$853.70	$1,328.77	$2,474.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,296.85 / $1,641.60 / $1,931.30	Professional		$1,296.85	$1,641.60	$1,931.30