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 $634.55 / $1,030.44 / $1,099.33	Professional		$634.55	$1,030.44	$1,099.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.00 / $1,580.79 / $1,975.99	Professional		$1,258.00	$1,580.79	$1,975.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $646.13 / $1,029.66 / $2,126.53	Professional		$646.13	$1,029.66	$2,126.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,026.47 / $1,715.96 / $7,896.02	Facility		$1,026.47	$1,715.96	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $721.69 / $1,378.00 / $5,175.84	Professional		$721.69	$1,378.00	$5,175.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,284.14 / $1,715.96 / $2,961.89	Facility		$1,284.14	$1,715.96	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,027.53 / $1,556.03 / $2,046.61	Professional		$1,027.53	$1,556.03	$2,046.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.88 / $1,049.73 / $1,955.12	Professional		$688.88	$1,049.73	$1,955.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,083.96 / $1,372.10 / $1,614.20	Professional		$1,083.96	$1,372.10	$1,614.20