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 $793.65 / $1,270.30 / $1,441.75	Professional		$793.65	$1,270.30	$1,441.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.30 / $2,061.50 / $2,576.87	Professional		$1,597.30	$2,061.50	$2,576.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $820.21 / $1,302.15 / $2,511.85	Professional		$820.21	$1,302.15	$2,511.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,305.58 / $2,220.30 / $7,896.02	Facility		$1,305.58	$2,220.30	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $901.52 / $1,709.00 / $6,729.92	Professional		$901.52	$1,709.00	$6,729.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,580.00 / $2,228.15 / $2,961.89	Facility		$1,580.00	$2,228.15	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,281.53 / $1,922.22 / $2,514.14	Professional		$1,281.53	$1,922.22	$2,514.14
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 $860.54 / $1,311.30 / $2,442.29	Professional		$860.54	$1,311.30	$2,442.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,392.14 / $1,762.20 / $2,073.19	Professional		$1,392.14	$1,762.20	$2,073.19