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 $911.16 / $1,475.92 / $1,575.17	Professional		$911.16	$1,475.92	$1,575.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,868.00 / $2,250.04 / $2,812.55	Professional		$1,868.00	$2,250.04	$2,812.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $1,481.87 / $3,036.20	Professional		$928.44	$1,481.87	$3,036.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,575.17 / $2,454.44 / $20,063.05	Facility		$1,575.17	$2,454.44	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,040.81 / $1,970.46 / $7,402.16	Professional		$1,040.81	$1,970.46	$7,402.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,834.66 / $2,454.44 / $12,675.86	Facility		$1,834.66	$2,454.44	$12,675.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,496.30 / $2,227.05 / $2,964.52	Professional		$1,496.30	$2,227.05	$2,964.52
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,007.89 / $1,639.71 / $3,080.13	Professional		$1,007.89	$1,639.71	$3,080.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,551.40 / $1,963.80 / $2,310.30	Professional		$1,551.40	$1,963.80	$2,310.30