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 $834.27 / $1,192.44 / $1,450.17	Professional		$834.27	$1,192.44	$1,450.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,638.00 / $2,076.30 / $2,595.38	Professional		$1,638.00	$2,076.30	$2,595.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $853.90 / $1,360.98 / $2,791.24	Professional		$853.90	$1,360.98	$2,791.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,450.17 / $2,238.37 / $9,082.00	Facility		$1,450.17	$2,238.37	$9,082.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $955.31 / $1,757.39 / $14,015.54	Professional		$955.31	$1,757.39	$14,015.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $1,955.70 / $2,719.88	Facility		$1,638.00	$1,955.70	$2,719.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,246.61 / $1,946.97 / $2,719.88	Professional		$1,246.61	$1,946.97	$2,719.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,723.00 / $8,220.00 / $13,476.00	Facility		$4,723.00	$8,220.00	$13,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $911.88 / $1,389.54 / $2,588.01	Professional		$911.88	$1,389.54	$2,588.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,428.72 / $1,808.50 / $2,127.60	Professional		$1,428.72	$1,808.50	$2,127.60