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 $607.45 / $982.63 / $1,049.96	Professional		$607.45	$982.63	$1,049.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.00 / $1,506.00 / $1,882.50	Professional		$1,214.00	$1,506.00	$1,882.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $619.38 / $987.99 / $2,558.19	Professional		$619.38	$987.99	$2,558.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $998.33 / $1,465.10 / $8,604.00	Facility		$998.33	$1,465.10	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.74 / $1,298.51 / $4,992.93	Professional		$691.74	$1,298.51	$4,992.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,214.00 / $1,444.05 / $1,971.08	Facility		$1,214.00	$1,444.05	$1,971.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $994.10 / $1,389.19 / $1,971.08	Professional		$994.10	$1,389.19	$1,971.08
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $660.29 / $1,006.16 / $1,857.99	Professional		$660.29	$1,006.16	$1,857.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,036.24 / $1,311.70 / $1,543.20	Professional		$1,036.24	$1,311.70	$1,543.20