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 $613.87 / $1,042.84 / $1,090.41	Professional		$613.87	$1,042.84	$1,090.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.81 / $1,564.43 / $1,955.54	Professional		$1,221.81	$1,564.43	$1,955.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $637.54 / $1,012.59 / $2,356.92	Professional		$637.54	$1,012.59	$2,356.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,090.41 / $1,679.23 / $12,206.95	Facility		$1,090.41	$1,679.23	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.81 / $1,319.81 / $6,008.36	Professional		$684.81	$1,319.81	$6,008.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,211.00 / $1,532.75 / $2,072.62	Facility		$1,211.00	$1,532.75	$2,072.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,053.49 / $1,532.75 / $2,072.62	Professional		$1,053.49	$1,532.75	$2,072.62
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 $653.67 / $996.08 / $1,865.44	Professional		$653.67	$996.08	$1,865.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,067.69 / $1,351.50 / $1,590.00	Professional		$1,067.69	$1,351.50	$1,590.00