Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.10 / $1,518.63 / $1,581.54	Professional		$870.10	$1,518.63	$1,581.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,766.00 / $2,246.92 / $2,808.66	Professional		$1,766.00	$2,246.92	$2,808.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $932.34 / $1,435.66 / $3,678.98	Professional		$932.34	$1,435.66	$3,678.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,127.55 / $2,289.51 / $5,264.36	Facility		$1,127.55	$2,289.51	$5,264.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,052.57 / $1,978.79 / $7,421.44	Professional		$1,052.57	$1,978.79	$7,421.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,766.00 / $2,230.69 / $2,994.52	Facility		$1,766.00	$2,230.69	$2,994.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,342.06 / $2,230.69 / $2,994.52	Professional		$1,342.06	$2,230.69	$2,994.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.72 / $1,531.01 / $2,851.50	Professional		$1,004.72	$1,531.01	$2,851.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,553.93 / $1,967.00 / $2,314.10	Professional		$1,553.93	$1,967.00	$2,314.10