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 $849.52 / $1,449.11 / $1,449.11	Professional		$849.52	$1,449.11	$1,449.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,024.10 / $2,301.56 / $2,535.19	Professional		$2,024.10	$2,301.56	$2,535.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $928.71 / $1,444.65 / $3,310.08	Professional		$928.71	$1,444.65	$3,310.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,159.83 / $2,301.56 / $7,305.00	Facility		$1,159.83	$2,301.56	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,116.34 / $2,251.30 / $3,483.07	Professional		$1,116.34	$2,251.30	$3,483.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,527.68 / $2,224.82 / $2,970.01	Facility		$1,527.68	$2,224.82	$2,970.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,527.68 / $2,301.56 / $2,970.01	Professional		$1,527.68	$2,301.56	$2,970.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,069.83 / $1,916.40 / $3,079.26	Professional		$1,069.83	$1,916.40	$3,079.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,514.98 / $1,917.70 / $2,256.10	Professional		$1,514.98	$1,917.70	$2,256.10