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 $941.00 / $1,536.15 / $1,626.72	Professional		$941.00	$1,536.15	$1,626.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,876.00 / $2,324.83 / $2,906.04	Professional		$1,876.00	$2,324.83	$2,906.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $958.20 / $1,528.98 / $3,132.86	Professional		$958.20	$1,528.98	$3,132.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $2,535.94 / $11,139.12	Facility		$1,433.90	$2,535.94	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,074.40 / $2,038.31 / $7,648.00	Professional		$1,074.40	$2,038.31	$7,648.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,876.00 / $2,535.94 / $8,723.94	Facility		$1,876.00	$2,535.94	$8,723.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,541.32 / $2,299.12 / $3,061.21	Professional		$1,541.32	$2,299.12	$3,061.21
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 $1,025.57 / $1,763.30 / $2,910.66	Professional		$1,025.57	$1,763.30	$2,910.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,601.57 / $2,027.30 / $2,385.00	Professional		$1,601.57	$2,027.30	$2,385.00