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 $776.26 / $1,221.33 / $1,395.93	Professional		$776.26	$1,221.33	$1,395.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.81 / $1,999.17 / $2,498.96	Professional		$1,547.81	$1,999.17	$2,498.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $793.68 / $1,259.86 / $2,800.51	Professional		$793.68	$1,259.86	$2,800.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,278.58 / $2,149.73 / $11,139.12	Facility		$1,278.58	$2,149.73	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $879.31 / $1,674.83 / $6,514.80	Professional		$879.31	$1,674.83	$6,514.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $2,158.73 / $6,616.19	Facility		$1,540.00	$2,158.73	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,232.79 / $1,868.96 / $2,432.67	Professional		$1,232.79	$1,868.96	$2,432.67
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 $838.27 / $1,278.99 / $2,382.12	Professional		$838.27	$1,278.99	$2,382.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.61 / $1,707.10 / $2,008.30	Professional		$1,348.61	$1,707.10	$2,008.30