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 $876.52 / $1,445.67 / $1,515.27	Professional		$876.52	$1,445.67	$1,515.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,860.12 / $2,193.56 / $2,705.42	Professional		$1,860.12	$2,193.56	$2,705.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $909.30 / $1,428.90 / $3,064.66	Professional		$909.30	$1,428.90	$3,064.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,515.27 / $2,557.09 / $12,342.67	Facility		$1,515.27	$2,557.09	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,008.64 / $1,981.08 / $8,630.24	Professional		$1,008.64	$1,981.08	$8,630.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,765.13 / $2,616.62 / $9,749.16	Facility		$1,765.13	$2,616.62	$9,749.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,444.34 / $2,174.33 / $2,843.89	Professional		$1,444.34	$2,174.33	$2,843.89
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 $955.25 / $1,455.62 / $2,961.54	Professional		$955.25	$1,455.62	$2,961.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,491.05 / $1,887.40 / $2,220.50	Professional		$1,491.05	$1,887.40	$2,220.50