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 $728.94 / $1,139.09 / $1,321.32	Professional		$728.94	$1,139.09	$1,321.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,467.00 / $1,897.11 / $2,371.39	Professional		$1,467.00	$1,897.11	$2,371.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $749.94 / $1,189.67 / $2,362.23	Professional		$749.94	$1,189.67	$2,362.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,226.80 / $2,034.83 / $11,139.12	Facility		$1,226.80	$2,034.83	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $829.30 / $1,576.33 / $6,168.88	Professional		$829.30	$1,576.33	$6,168.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,446.00 / $2,043.98 / $6,616.19	Facility		$1,446.00	$2,043.98	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,135.90 / $1,758.35 / $2,288.69	Professional		$1,135.90	$1,758.35	$2,288.69
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 $791.61 / $1,206.26 / $2,246.65	Professional		$791.61	$1,206.26	$2,246.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,276.56 / $1,615.90 / $1,901.10	Professional		$1,276.56	$1,615.90	$1,901.10