Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.48 / $1,173.05 / $1,236.66	Professional		$715.48	$1,173.05	$1,236.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $1,777.13 / $2,221.41	Professional		$1,415.00	$1,777.13	$2,221.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $729.15 / $1,163.06 / $2,508.71	Professional		$729.15	$1,163.06	$2,508.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,108.63 / $1,931.04 / $8,332.67	Facility		$1,108.63	$1,931.04	$8,332.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $814.19 / $1,550.81 / $5,824.16	Professional		$814.19	$1,550.81	$5,824.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,444.39 / $2,081.39 / $2,961.89	Facility		$1,444.39	$2,081.39	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,188.29 / $1,753.27 / $2,314.25	Professional		$1,188.29	$1,753.27	$2,314.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,180.89 / $7,487.00 / $11,732.00	Facility		$4,180.89	$7,487.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.18 / $1,184.27 / $2,220.51	Professional		$777.18	$1,184.27	$2,220.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,221.33 / $1,546.00 / $1,818.80	Professional		$1,221.33	$1,546.00	$1,818.80