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 $738.33 / $1,158.05 / $1,340.45	Professional		$738.33	$1,158.05	$1,340.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.82 / $1,922.82 / $2,403.52	Professional		$1,487.82	$1,922.82	$2,403.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $761.33 / $1,208.07 / $2,396.65	Professional		$761.33	$1,208.07	$2,396.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,238.06 / $2,064.29 / $7,896.02	Facility		$1,238.06	$2,064.29	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $841.57 / $1,583.22 / $6,258.24	Professional		$841.57	$1,583.22	$6,258.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,468.00 / $2,073.64 / $2,961.89	Facility		$1,468.00	$2,073.64	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,163.57 / $1,778.15 / $2,325.69	Professional		$1,163.57	$1,778.15	$2,325.69
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 $801.93 / $1,224.09 / $2,279.88	Professional		$801.93	$1,224.09	$2,279.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,295.35 / $1,639.70 / $1,929.00	Professional		$1,295.35	$1,639.70	$1,929.00