Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.59 / $1,378.57 / $5,163.10	Professional		$808.59	$1,378.57	$5,163.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.31 / $2,194.84 / $2,436.64	Professional		$1,949.31	$2,194.84	$2,436.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.64 / $1,341.24 / $2,632.96	Professional		$851.64	$1,341.24	$2,632.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,159.67 / $2,194.84 / $7,305.00	Facility		$1,159.67	$2,194.84	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,087.46 / $2,080.69 / $3,342.44	Professional		$1,087.46	$2,080.69	$3,342.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.50 / $2,080.69 / $2,713.75	Facility		$1,392.50	$2,080.69	$2,713.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,233.42 / $2,048.46 / $2,713.75	Professional		$1,233.42	$2,048.46	$2,713.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,001.26 / $1,713.53 / $2,834.26	Professional		$1,001.26	$1,713.53	$2,834.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,454.31 / $1,840.90 / $2,165.80	Professional		$1,454.31	$1,840.90	$2,165.80