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 $773.26 / $1,268.70 / $1,363.13	Professional		$773.26	$1,268.70	$1,363.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,605.00 / $1,915.81 / $2,394.76	Professional		$1,605.00	$1,915.81	$2,394.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $786.43 / $1,351.29 / $2,568.79	Professional		$786.43	$1,351.29	$2,568.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,269.58 / $2,084.02 / $14,242.22	Facility		$1,269.58	$2,084.02	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $878.80 / $1,677.71 / $6,285.52	Professional		$878.80	$1,677.71	$6,285.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,558.78 / $2,084.02 / $9,084.23	Facility		$1,558.78	$2,084.02	$9,084.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,266.50 / $1,889.37 / $2,498.89	Professional		$1,266.50	$1,889.37	$2,498.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $838.86 / $1,278.26 / $2,390.88	Professional		$838.86	$1,278.26	$2,390.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,316.14 / $1,666.00 / $1,960.00	Professional		$1,316.14	$1,666.00	$1,960.00