Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.17 / $1,091.13 / $1,269.98	Professional		$644.17	$1,091.13	$1,269.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.75 / $1,819.98 / $2,274.96	Professional		$1,320.75	$1,819.98	$2,274.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $718.98 / $1,140.29 / $2,108.73	Professional		$718.98	$1,140.29	$2,108.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,109.75 / $1,917.52 / $7,123.00	Facility		$1,109.75	$1,917.52	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $781.37 / $1,509.37 / $5,927.92	Professional		$781.37	$1,509.37	$5,927.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,476.34 / $1,964.06 / $2,961.89	Facility		$1,476.34	$1,964.06	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,083.25 / $1,573.26 / $2,195.54	Professional		$1,083.25	$1,573.26	$2,195.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.13 / $1,156.77 / $2,154.48	Professional		$759.13	$1,156.77	$2,154.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,224.33 / $1,549.80 / $1,823.30	Professional		$1,224.33	$1,549.80	$1,823.30