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 $696.42 / $1,058.69 / $1,207.16	Professional		$696.42	$1,058.69	$1,207.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.00 / $1,728.04 / $2,160.05	Professional		$1,389.00	$1,728.04	$2,160.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $700.82 / $1,112.76 / $2,480.07	Professional		$700.82	$1,112.76	$2,480.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,207.16 / $1,871.10 / $12,206.95	Facility		$1,207.16	$1,871.10	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $813.10 / $1,477.01 / $8,296.79	Professional		$813.10	$1,477.01	$8,296.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,389.00 / $1,715.42 / $2,327.63	Facility		$1,389.00	$1,715.42	$2,327.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,081.33 / $1,689.21 / $2,327.63	Professional		$1,081.33	$1,689.21	$2,327.63
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 $772.45 / $1,184.61 / $2,206.36	Professional		$772.45	$1,184.61	$2,206.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,176.71 / $1,489.50 / $1,752.40	Professional		$1,176.71	$1,489.50	$1,752.40