Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.08 / $1,004.66 / $1,208.49	Professional		$632.08	$1,004.66	$1,208.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.93 / $1,642.34 / $2,052.92	Professional		$1,267.93	$1,642.34	$2,052.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $642.86 / $1,016.21 / $2,292.05	Professional		$642.86	$1,016.21	$2,292.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,066.98 / $1,756.36 / $7,896.02	Facility		$1,066.98	$1,756.36	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $716.28 / $1,355.34 / $5,300.56	Professional		$716.28	$1,355.34	$5,300.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,322.23 / $1,756.36 / $2,961.89	Facility		$1,322.23	$1,756.36	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,004.95 / $1,517.09 / $1,987.18	Professional		$1,004.95	$1,517.09	$1,987.18
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 $683.72 / $1,041.85 / $1,926.04	Professional		$683.72	$1,041.85	$1,926.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,097.07 / $1,388.70 / $1,633.80	Professional		$1,097.07	$1,388.70	$1,633.80