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 $942.84 / $1,301.41 / $1,437.35	Professional		$942.84	$1,301.41	$1,437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,035.79 / $2,375.07 / $2,559.32	Professional		$2,035.79	$2,375.07	$2,559.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $887.88 / $1,514.75 / $2,214.63	Professional		$887.88	$1,514.75	$2,214.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,816.32 / $2,693.14 / $19,114.00	Facility		$1,816.32	$2,693.14	$19,114.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,087.18 / $2,192.46 / $3,850.42	Professional		$1,087.18	$2,192.46	$3,850.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,449.56 / $2,156.73 / $2,820.88	Facility		$1,449.56	$2,156.73	$2,820.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,449.56 / $2,095.34 / $2,820.88	Professional		$1,449.56	$2,095.34	$2,820.88
United Facility/Professional Facility Modifier Low / Median / High Price $9,780.00 / $13,193.00 / $19,114.00	Facility		$9,780.00	$13,193.00	$19,114.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.88 / $2,085.78 / $2,951.16	Professional		$1,041.88	$2,085.78	$2,951.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,517.59 / $1,921.00 / $2,260.00	Professional		$1,517.59	$1,921.00	$2,260.00