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 $835.02 / $1,374.00 / $1,443.31	Professional		$835.02	$1,374.00	$1,443.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,768.06 / $2,063.84 / $2,579.79	Professional		$1,768.06	$2,063.84	$2,579.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $866.44 / $1,355.52 / $2,915.94	Professional		$866.44	$1,355.52	$2,915.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,443.31 / $2,374.21 / $20,063.05	Facility		$1,443.31	$2,374.21	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $959.27 / $1,867.94 / $7,172.28	Professional		$959.27	$1,867.94	$7,172.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,682.05 / $2,389.21 / $12,675.86	Facility		$1,682.05	$2,389.21	$12,675.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,372.76 / $2,050.00 / $2,701.76	Professional		$1,372.76	$2,050.00	$2,701.76
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 $907.73 / $1,383.20 / $2,712.05	Professional		$907.73	$1,383.20	$2,712.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,421.05 / $1,798.80 / $2,116.30	Professional		$1,421.05	$1,798.80	$2,116.30