Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.90 / $1,212.21 / $1,371.44	Professional		$741.90	$1,212.21	$1,371.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.48 / $1,963.33 / $2,454.17	Professional		$1,520.48	$1,963.33	$2,454.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $779.89 / $1,238.30 / $2,460.21	Professional		$779.89	$1,238.30	$2,460.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,177.28 / $1,902.47 / $6,036.00	Facility		$1,177.28	$1,902.47	$6,036.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $863.20 / $1,616.54 / $6,399.12	Professional		$863.20	$1,616.54	$6,399.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,452.00 / $1,902.47 / $2,386.98	Facility		$1,452.00	$1,902.47	$2,386.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,206.45 / $1,825.00 / $2,386.98	Professional		$1,206.45	$1,825.00	$2,386.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.97 / $1,255.57 / $2,554.53	Professional		$823.97	$1,255.57	$2,554.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,325.23 / $1,677.50 / $1,973.60	Professional		$1,325.23	$1,677.50	$1,973.60