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 $669.75 / $1,101.71 / $1,157.06	Professional		$669.75	$1,101.71	$1,157.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,360.00 / $1,661.04 / $2,076.30	Professional		$1,360.00	$1,661.04	$2,076.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $681.62 / $1,166.31 / $3,353.99	Professional		$681.62	$1,166.31	$3,353.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,157.06 / $1,793.44 / $12,257.52	Facility		$1,157.06	$1,793.44	$12,257.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.18 / $1,453.16 / $6,320.43	Professional		$761.18	$1,453.16	$6,320.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,350.33 / $1,659.10 / $2,169.98	Facility		$1,350.33	$1,659.10	$2,169.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,099.22 / $1,638.99 / $2,169.98	Professional		$1,099.22	$1,638.99	$2,169.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.58 / $1,107.17 / $2,062.10	Professional		$726.58	$1,107.17	$2,062.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,141.71 / $1,445.20 / $1,700.30	Professional		$1,141.71	$1,445.20	$1,700.30