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 $698.67 / $1,139.27 / $1,218.73	Professional		$698.67	$1,139.27	$1,218.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.29 / $1,746.74 / $2,183.42	Professional		$1,365.29	$1,746.74	$2,183.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $717.99 / $1,145.49 / $2,362.23	Professional		$717.99	$1,145.49	$2,362.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,054.59 / $1,748.05 / $8,604.00	Facility		$1,054.59	$1,748.05	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $803.87 / $1,505.43 / $5,732.88	Professional		$803.87	$1,505.43	$5,732.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,360.00 / $1,724.87 / $2,286.30	Facility		$1,360.00	$1,724.87	$2,286.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,140.84 / $1,724.87 / $2,286.30	Professional		$1,140.84	$1,724.87	$2,286.30
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 $767.33 / $1,315.42 / $2,378.94	Professional		$767.33	$1,315.42	$2,378.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,201.51 / $1,520.90 / $1,789.30	Professional		$1,201.51	$1,520.90	$1,789.30