Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.38 / $1,337.64 / $1,422.17	Professional		$824.38	$1,337.64	$1,422.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.00 / $2,028.00 / $2,535.00	Professional		$1,604.00	$2,028.00	$2,535.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $829.42 / $1,317.83 / $2,780.65	Professional		$829.42	$1,317.83	$2,780.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,384.38 / $2,190.14 / $12,206.95	Facility		$1,384.38	$2,190.14	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $946.33 / $1,776.92 / $7,152.58	Professional		$946.33	$1,776.92	$7,152.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,604.00 / $1,990.53 / $2,690.16	Facility		$1,604.00	$1,990.53	$2,690.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,361.98 / $1,990.53 / $2,690.16	Professional		$1,361.98	$1,990.53	$2,690.16
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 $903.32 / $1,376.48 / $2,724.48	Professional		$903.32	$1,376.48	$2,724.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,386.61 / $1,755.20 / $2,064.90	Professional		$1,386.61	$1,755.20	$2,064.90