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 $834.39 / $1,337.32 / $1,480.85	Professional		$834.39	$1,337.32	$1,480.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.00 / $2,117.59 / $2,646.99	Professional		$1,645.00	$2,117.59	$2,646.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $835.95 / $1,325.81 / $2,689.28	Professional		$835.95	$1,325.81	$2,689.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,399.01 / $2,286.23 / $11,139.12	Facility		$1,399.01	$2,286.23	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $941.60 / $1,800.38 / $6,900.24	Professional		$941.60	$1,800.38	$6,900.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,645.00 / $2,286.23 / $8,911.50	Facility		$1,645.00	$2,286.23	$8,911.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,331.40 / $2,010.48 / $2,616.86	Professional		$1,331.40	$2,010.48	$2,616.86
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 $898.80 / $1,369.60 / $2,568.00	Professional		$898.80	$1,369.60	$2,568.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,424.13 / $1,802.70 / $2,120.80	Professional		$1,424.13	$1,802.70	$2,120.80