Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.93 / $1,437.19 / $1,499.25	Professional		$856.93	$1,437.19	$1,499.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.85 / $2,136.80 / $2,603.77	Professional		$1,717.85	$2,136.80	$2,603.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $935.44 / $1,439.01 / $3,620.61	Professional		$935.44	$1,439.01	$3,620.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.55 / $2,308.85 / $5,264.36	Facility		$1,202.55	$2,308.85	$5,264.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,018.14 / $1,905.57 / $6,976.80	Professional		$1,018.14	$1,905.57	$6,976.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,717.85 / $2,136.80 / $2,871.27	Facility		$1,717.85	$2,136.80	$2,871.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,443.02 / $2,136.80 / $2,871.27	Professional		$1,443.02	$2,136.80	$2,871.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.86 / $1,529.45 / $2,962.33	Professional		$971.86	$1,529.45	$2,962.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,488.52 / $1,884.20 / $2,216.69	Professional		$1,488.52	$1,884.20	$2,216.69