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 $773.93 / $1,414.93 / $1,485.56	Professional		$773.93	$1,414.93	$1,485.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.00 / $2,123.83 / $2,654.78	Professional		$1,663.00	$2,123.83	$2,654.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $882.31 / $1,396.58 / $3,600.28	Professional		$882.31	$1,396.58	$3,600.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,449.65 / $2,287.76 / $8,332.67	Facility		$1,449.65	$2,287.76	$8,332.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $980.17 / $1,871.23 / $8,623.71	Professional		$980.17	$1,871.23	$8,623.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,663.00 / $2,272.48 / $2,961.89	Facility		$1,663.00	$2,272.48	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,424.26 / $1,969.45 / $2,790.93	Professional		$1,424.26	$1,969.45	$2,790.93
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 $935.61 / $1,425.70 / $2,673.18	Professional		$935.61	$1,425.70	$2,673.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,463.16 / $1,852.10 / $2,178.90	Professional		$1,463.16	$1,852.10	$2,178.90