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 $744.09 / $1,246.69 / $1,313.64	Professional		$744.09	$1,246.69	$1,313.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.00 / $1,886.98 / $2,358.73	Professional		$1,495.00	$1,886.98	$2,358.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $772.91 / $1,232.33 / $2,525.09	Professional		$772.91	$1,232.33	$2,525.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,181.79 / $2,023.01 / $12,342.67	Facility		$1,181.79	$2,023.01	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $862.79 / $1,627.65 / $6,185.20	Professional		$862.79	$1,627.65	$6,185.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,495.00 / $2,050.69 / $6,616.19	Facility		$1,495.00	$2,050.69	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,243.74 / $1,859.51 / $2,450.84	Professional		$1,243.74	$1,859.51	$2,450.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $822.50 / $1,254.96 / $2,280.52	Professional		$822.50	$1,254.96	$2,280.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,295.35 / $1,639.70 / $1,929.00	Professional		$1,295.35	$1,639.70	$1,929.00