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 $862.32 / $1,413.31 / $1,511.63	Professional		$862.32	$1,413.31	$1,511.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,765.00 / $2,157.33 / $2,696.66	Professional		$1,765.00	$2,157.33	$2,696.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $1,415.04 / $2,816.40	Professional		$886.96	$1,415.04	$2,816.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,353.99 / $2,169.81 / $8,604.00	Facility		$1,353.99	$2,169.81	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $988.69 / $1,887.50 / $7,097.44	Professional		$988.69	$1,887.50	$7,097.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,759.82 / $2,131.00 / $2,786.92	Facility		$1,759.82	$2,131.00	$2,786.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.98 / $2,130.78 / $2,786.92	Professional		$1,412.98	$2,130.78	$2,786.92
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 $988.69 / $1,438.10 / $2,925.90	Professional		$988.69	$1,438.10	$2,925.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,484.41 / $1,879.00 / $2,210.60	Professional		$1,484.41	$1,879.00	$2,210.60