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 $714.42 / $1,161.49 / $1,256.58	Professional		$714.42	$1,161.49	$1,256.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.00 / $1,805.95 / $2,257.44	Professional		$1,441.00	$1,805.95	$2,257.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $739.64 / $1,179.42 / $2,691.93	Professional		$739.64	$1,179.42	$2,691.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,256.58 / $1,961.08 / $14,242.22	Facility		$1,256.58	$1,961.08	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $824.99 / $1,566.14 / $5,915.04	Professional		$824.99	$1,566.14	$5,915.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,441.00 / $1,961.08 / $9,047.69	Facility		$1,441.00	$1,961.08	$9,047.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,164.81 / $1,780.20 / $2,336.90	Professional		$1,164.81	$1,780.20	$2,336.90
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 $787.49 / $1,201.98 / $2,234.96	Professional		$787.49	$1,201.98	$2,234.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,240.06 / $1,569.70 / $1,846.70	Professional		$1,240.06	$1,569.70	$1,846.70