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 $901.53 / $1,442.93 / $1,590.85	Professional		$901.53	$1,442.93	$1,590.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.00 / $2,271.86 / $2,839.82	Professional		$1,788.00	$2,271.86	$2,839.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $901.54 / $1,430.76 / $3,079.90	Professional		$901.54	$1,430.76	$3,079.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,554.32 / $2,458.59 / $11,139.12	Facility		$1,554.32	$2,458.59	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,016.26 / $1,948.44 / $7,528.50	Professional		$1,016.26	$1,948.44	$7,528.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,788.00 / $2,458.59 / $6,616.19	Facility		$1,788.00	$2,458.59	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,438.45 / $2,175.69 / $2,831.93	Professional		$1,438.45	$2,175.69	$2,831.93
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 $970.06 / $1,478.19 / $2,753.13	Professional		$970.06	$1,478.19	$2,753.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,532.13 / $1,939.40 / $2,281.60	Professional		$1,532.13	$1,939.40	$2,281.60