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 $879.58 / $1,450.74 / $1,520.46	Professional		$879.58	$1,450.74	$1,520.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,791.00 / $2,173.69 / $2,717.11	Professional		$1,791.00	$2,173.69	$2,717.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $895.22 / $1,516.22 / $2,907.76	Professional		$895.22	$1,516.22	$2,907.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,520.46 / $2,369.77 / $12,342.67	Facility		$1,520.46	$2,369.77	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,003.94 / $1,916.61 / $7,146.88	Professional		$1,003.94	$1,916.61	$7,146.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,771.66 / $2,369.77 / $6,616.19	Facility		$1,771.66	$2,369.77	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,448.05 / $2,148.46 / $2,850.62	Professional		$1,448.05	$2,148.46	$2,850.62
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,420.00 / $11,869.99	Facility		$6,354.00	$8,420.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $958.30 / $1,647.32 / $2,719.76	Professional		$958.30	$1,647.32	$2,719.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,496.58 / $1,894.40 / $2,228.80	Professional		$1,496.58	$1,894.40	$2,228.80