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 $888.25 / $1,474.62 / $1,539.49	Professional		$888.25	$1,474.62	$1,539.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,751.53 / $2,198.62 / $2,748.28	Professional		$1,751.53	$2,198.62	$2,748.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $908.47 / $1,398.48 / $3,535.82	Professional		$908.47	$1,398.48	$3,535.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,125.09 / $2,399.23 / $12,342.67	Facility		$1,125.09	$2,399.23	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,018.27 / $1,919.70 / $7,044.30	Professional		$1,018.27	$1,919.70	$7,044.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,751.53 / $2,594.79 / $6,616.19	Facility		$1,751.53	$2,594.79	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,471.96 / $2,177.57 / $2,889.65	Professional		$1,471.96	$2,177.57	$2,889.65
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $971.99 / $1,481.12 / $2,758.59	Professional		$971.99	$1,481.12	$2,758.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,516.88 / $1,920.10 / $2,259.00	Professional		$1,516.88	$1,920.10	$2,259.00