Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $1,097.04 / $1,161.19	Professional		$663.42	$1,097.04	$1,161.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.64 / $1,733.50 / $2,166.87	Professional		$1,352.64	$1,733.50	$2,166.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.89 / $1,103.35 / $2,247.03	Professional		$707.89	$1,103.35	$2,247.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,005.07 / $1,705.95 / $8,604.00	Facility		$1,005.07	$1,705.95	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $766.56 / $1,440.00 / $5,479.44	Professional		$766.56	$1,440.00	$5,479.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,303.00 / $1,705.95 / $2,177.96	Facility		$1,303.00	$1,705.95	$2,177.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.21 / $1,665.19 / $2,177.96	Professional		$1,096.21	$1,665.19	$2,177.96
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 $731.71 / $1,161.68 / $2,268.52	Professional		$731.71	$1,161.68	$2,268.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,188.40 / $1,504.30 / $1,769.70	Professional		$1,188.40	$1,504.30	$1,769.70