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 $888.65 / $1,515.02 / $5,668.44	Professional		$888.65	$1,515.02	$5,668.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,143.30 / $2,542.30 / $2,697.43	Professional		$2,143.30	$2,542.30	$2,697.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $936.20 / $1,596.13 / $2,267.64	Professional		$936.20	$1,596.13	$2,267.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,874.56 / $2,726.40 / $16,616.96	Facility		$1,874.56	$2,726.40	$16,616.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,146.18 / $2,311.46 / $4,059.39	Professional		$1,146.18	$2,311.46	$4,059.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,600.27 / $2,282.94 / $2,981.38	Facility		$1,600.27	$2,282.94	$2,981.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,600.27 / $2,208.13 / $2,981.38	Professional		$1,600.27	$2,208.13	$2,981.38
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.42 / $2,198.67 / $3,130.28	Professional		$1,098.42	$2,198.67	$3,130.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,599.28 / $2,024.40 / $2,381.69	Professional		$1,599.28	$2,024.40	$2,381.69