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 $783.07 / $1,295.70 / $1,353.66	Professional		$783.07	$1,295.70	$1,353.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,616.00 / $1,934.51 / $2,418.13	Professional		$1,616.00	$1,934.51	$2,418.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $797.05 / $1,271.55 / $2,623.08	Professional		$797.05	$1,271.55	$2,623.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,295.46 / $2,110.64 / $11,139.12	Facility		$1,295.46	$2,110.64	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $894.23 / $1,707.17 / $6,365.44	Professional		$894.23	$1,707.17	$6,365.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,577.65 / $2,110.64 / $8,332.41	Facility		$1,577.65	$2,110.64	$8,332.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,293.18 / $1,912.66 / $2,546.94	Professional		$1,293.18	$1,912.66	$2,546.94
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 $894.23 / $1,300.70 / $2,646.36	Professional		$894.23	$1,300.70	$2,646.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,332.34 / $1,686.50 / $1,984.10	Professional		$1,332.34	$1,686.50	$1,984.10