Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.45 / $1,557.73 / $1,652.68	Professional		$956.45	$1,557.73	$1,652.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,962.00 / $2,370.02 / $2,962.53	Professional		$1,962.00	$2,370.02	$2,962.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $974.17 / $1,562.20 / $4,107.06	Professional		$974.17	$1,562.20	$4,107.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,466.53 / $2,579.00 / $14,479.00	Facility		$1,466.53	$2,579.00	$14,479.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,090.25 / $2,081.39 / $7,778.24	Professional		$1,090.25	$2,081.39	$7,778.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,962.00 / $2,783.29 / $6,616.19	Facility		$1,962.00	$2,783.29	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,563.19 / $2,340.59 / $3,109.32	Professional		$1,563.19	$2,340.59	$3,109.32
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 $1,040.70 / $1,585.82 / $2,953.60	Professional		$1,040.70	$1,585.82	$2,953.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,630.48 / $2,063.90 / $2,428.10	Professional		$1,630.48	$2,063.90	$2,428.10