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 $870.41 / $1,379.84 / $1,560.03	Professional		$870.41	$1,379.84	$1,560.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,727.98 / $2,226.67 / $2,783.33	Professional		$1,727.98	$2,226.67	$2,783.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.03 / $1,415.93 / $3,707.53	Professional		$891.03	$1,415.93	$3,707.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,353.99 / $2,357.85 / $7,896.02	Facility		$1,353.99	$2,357.85	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $990.78 / $1,893.41 / $7,284.40	Professional		$990.78	$1,893.41	$7,284.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,679.00 / $2,368.73 / $3,098.26	Facility		$1,679.00	$2,368.73	$3,098.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,386.27 / $2,114.37 / $2,752.12	Professional		$1,386.27	$2,114.37	$2,752.12
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 $944.56 / $1,441.14 / $2,684.12	Professional		$944.56	$1,441.14	$2,684.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,508.74 / $1,909.80 / $2,246.90	Professional		$1,508.74	$1,909.80	$2,246.90