Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.13 / $1,451.98 / $1,514.01	Professional		$828.13	$1,451.98	$1,514.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,699.00 / $2,161.21 / $2,701.53	Professional		$1,699.00	$2,161.21	$2,701.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $893.08 / $1,417.62 / $3,682.37	Professional		$893.08	$1,417.62	$3,682.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,287.58 / $2,174.88 / $10,398.00	Facility		$1,287.58	$2,174.88	$10,398.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,002.94 / $1,899.81 / $7,111.44	Professional		$1,002.94	$1,899.81	$7,111.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,699.00 / $2,140.44 / $2,856.00	Facility		$1,699.00	$2,140.44	$2,856.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,450.73 / $2,140.44 / $2,856.00	Professional		$1,450.73	$2,140.44	$2,856.00
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $13,657.65 / $16,616.96	Facility		$9,542.00	$13,657.65	$16,616.96
United Facility/Professional Professional Modifier Low / Median / High Price $956.56 / $1,458.82 / $2,717.04	Professional		$956.56	$1,458.82	$2,717.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,491.05 / $1,887.40 / $2,220.50	Professional		$1,491.05	$1,887.40	$2,220.50