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 $770.98 / $1,259.24 / $1,329.50	Professional		$770.98	$1,259.24	$1,329.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.64 / $1,897.11 / $2,371.39	Professional		$1,482.64	$1,897.11	$2,371.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $774.36 / $1,229.94 / $3,229.52	Professional		$774.36	$1,229.94	$3,229.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,105.24 / $2,063.13 / $11,869.99	Facility		$1,105.24	$2,063.13	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $882.48 / $1,661.67 / $14,641.99	Professional		$882.48	$1,661.67	$14,641.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,545.35 / $2,228.61 / $6,488.04	Facility		$1,545.35	$2,228.61	$6,488.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,272.35 / $1,860.26 / $2,506.63	Professional		$1,272.35	$1,860.26	$2,506.63
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 $842.36 / $1,283.59 / $2,390.71	Professional		$842.36	$1,283.59	$2,390.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,295.83 / $1,640.30 / $1,929.80	Professional		$1,295.83	$1,640.30	$1,929.80