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 $759.60 / $1,219.60 / $1,353.84	Professional		$759.60	$1,219.60	$1,353.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.00 / $1,940.74 / $2,425.92	Professional		$1,519.00	$1,940.74	$2,425.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $796.03 / $1,269.21 / $2,600.57	Professional		$796.03	$1,269.21	$2,600.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,353.84 / $1,930.33 / $8,689.00	Facility		$1,353.84	$1,930.33	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $889.86 / $1,666.46 / $7,235.13	Professional		$889.86	$1,666.46	$7,235.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $1,843.66 / $2,534.71	Facility		$1,519.00	$1,843.66	$2,534.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,226.91 / $1,836.97 / $2,534.71	Professional		$1,226.91	$1,836.97	$2,534.71
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 $848.56 / $1,294.33 / $2,410.69	Professional		$848.56	$1,294.33	$2,410.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,333.36 / $1,687.80 / $1,985.70	Professional		$1,333.36	$1,687.80	$1,985.70