Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.37 / $1,231.15 / $1,291.74	Professional		$747.37	$1,231.15	$1,291.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,539.00 / $1,849.58 / $2,311.98	Professional		$1,539.00	$1,849.58	$2,311.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $760.98 / $1,214.09 / $2,703.85	Professional		$760.98	$1,214.09	$2,703.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,233.56 / $2,014.34 / $12,342.67	Facility		$1,233.56	$2,014.34	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $852.05 / $1,626.64 / $6,075.12	Professional		$852.05	$1,626.64	$6,075.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,506.17 / $2,014.34 / $6,616.19	Facility		$1,506.17	$2,014.34	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,228.96 / $1,827.50 / $2,429.19	Professional		$1,228.96	$1,827.50	$2,429.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,420.00 / $11,869.99	Facility		$6,354.00	$8,420.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $813.32 / $1,239.33 / $2,521.52	Professional		$813.32	$1,239.33	$2,521.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,273.01 / $1,611.40 / $1,895.80	Professional		$1,273.01	$1,611.40	$1,895.80