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 $764.94 / $1,215.50 / $1,387.04	Professional		$764.94	$1,215.50	$1,387.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,538.32 / $1,986.71 / $2,483.38	Professional		$1,538.32	$1,986.71	$2,483.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $788.73 / $1,252.13 / $2,488.02	Professional		$788.73	$1,252.13	$2,488.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,253.82 / $2,144.16 / $7,155.00	Facility		$1,253.82	$2,144.16	$7,155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $873.03 / $1,644.76 / $6,470.80	Professional		$873.03	$1,644.76	$6,470.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,523.00 / $2,144.16 / $2,961.89	Facility		$1,523.00	$2,144.16	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,224.93 / $1,846.90 / $2,415.65	Professional		$1,224.93	$1,846.90	$2,415.65
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 $833.34 / $1,269.85 / $2,365.11	Professional		$833.34	$1,269.85	$2,365.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,340.47 / $1,696.80 / $1,996.20	Professional		$1,340.47	$1,696.80	$1,996.20