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 $812.57 / $1,313.82 / $1,474.55	Professional		$812.57	$1,313.82	$1,474.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,636.52 / $2,113.69 / $2,642.12	Professional		$1,636.52	$2,113.69	$2,642.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $839.49 / $1,332.74 / $2,633.67	Professional		$839.49	$1,332.74	$2,633.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,325.85 / $2,249.38 / $7,896.02	Facility		$1,325.85	$2,249.38	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $929.35 / $1,752.07 / $6,887.12	Professional		$929.35	$1,752.07	$6,887.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,616.00 / $2,282.11 / $2,961.89	Facility		$1,616.00	$2,282.11	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,306.47 / $1,968.03 / $2,574.04	Professional		$1,306.47	$1,968.03	$2,574.04
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 $929.35 / $1,351.78 / $2,750.27	Professional		$929.35	$1,351.78	$2,750.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,426.11 / $1,805.20 / $2,123.80	Professional		$1,426.11	$1,805.20	$2,123.80