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 $624.03 / $1,090.54 / $1,132.22	Professional		$624.03	$1,090.54	$1,132.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,371.40 / $1,633.56 / $1,908.40	Professional		$1,371.40	$1,633.56	$1,908.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $661.48 / $1,072.58 / $2,609.84	Professional		$661.48	$1,072.58	$2,609.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,090.54 / $1,701.30 / $8,604.00	Facility		$1,090.54	$1,701.30	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $767.23 / $1,473.93 / $7,925.30	Professional		$767.23	$1,473.93	$7,925.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,259.10 / $1,586.51 / $2,075.05	Facility		$1,259.10	$1,586.51	$2,075.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,119.21 / $1,586.51 / $2,075.05	Professional		$1,119.21	$1,586.51	$2,075.05
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $710.05 / $1,150.32 / $2,171.81	Professional		$710.05	$1,150.32	$2,171.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,085.46 / $1,374.00 / $1,616.50	Professional		$1,085.46	$1,374.00	$1,616.50