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 $921.68 / $1,511.92 / $1,592.67	Professional		$921.68	$1,511.92	$1,592.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,782.59 / $2,280.42 / $2,850.53	Professional		$1,782.59	$2,280.42	$2,850.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $956.32 / $1,495.07 / $3,471.84	Professional		$956.32	$1,495.07	$3,471.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,592.67 / $2,482.41 / $8,332.67	Facility		$1,592.67	$2,482.41	$8,332.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,052.01 / $2,055.81 / $7,486.96	Professional		$1,052.01	$2,055.81	$7,486.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,856.51 / $2,443.10 / $3,139.96	Facility		$1,856.51	$2,443.10	$3,139.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,508.77 / $2,206.27 / $2,980.95	Professional		$1,508.77	$2,206.27	$2,980.95
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 $1,035.46 / $1,879.04 / $3,100.74	Professional		$1,035.46	$1,879.04	$3,100.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,568.62 / $1,985.60 / $2,336.00	Professional		$1,568.62	$1,985.60	$2,336.00