Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.37 / $1,456.52 / $1,525.75	Professional		$880.37	$1,456.52	$1,525.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.00 / $2,180.69 / $2,725.88	Professional		$1,748.00	$2,180.69	$2,725.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $898.30 / $1,433.19 / $2,939.54	Professional		$898.30	$1,433.19	$2,939.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,335.98 / $2,378.35 / $12,342.67	Facility		$1,335.98	$2,378.35	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,007.57 / $1,903.31 / $8,911.00	Professional		$1,007.57	$1,903.31	$8,911.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,748.00 / $2,378.35 / $8,830.67	Facility		$1,748.00	$2,378.35	$8,830.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,453.53 / $2,155.73 / $2,861.72	Professional		$1,453.53	$2,155.73	$2,861.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $961.77 / $1,409.60 / $2,729.59	Professional		$961.77	$1,409.60	$2,729.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,501.71 / $1,900.90 / $2,236.30	Professional		$1,501.71	$1,900.90	$2,236.30