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 $556.54 / $1,079.24 / $1,134.07	Professional		$556.54	$1,079.24	$1,134.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.58 / $1,629.88 / $2,037.35	Professional		$1,272.58	$1,629.88	$2,037.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $667.08 / $1,063.47 / $1,902.73	Professional		$667.08	$1,063.47	$1,902.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $998.33 / $1,551.09 / $8,604.00	Facility		$998.33	$1,551.09	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $745.01 / $1,395.20 / $5,338.00	Professional		$745.01	$1,395.20	$5,338.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,176.00 / $1,609.26 / $2,123.86	Facility		$1,176.00	$1,609.26	$2,123.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,076.09 / $1,408.16 / $2,123.86	Professional		$1,076.09	$1,408.16	$2,123.86
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 $710.39 / $1,083.65 / $1,969.88	Professional		$710.39	$1,083.65	$1,969.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,118.40 / $1,415.70 / $1,665.50	Professional		$1,118.40	$1,415.70	$1,665.50