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 $757.44 / $1,152.94 / $1,152.94	Professional		$757.44	$1,152.94	$1,152.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,610.40 / $1,831.73 / $2,017.11	Professional		$1,610.40	$1,831.73	$2,017.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $738.83 / $1,148.96 / $2,689.28	Professional		$738.83	$1,148.96	$2,689.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $922.79 / $1,831.73 / $7,305.00	Facility		$922.79	$1,831.73	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $888.19 / $1,791.19 / $2,771.30	Professional		$888.19	$1,791.19	$2,771.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,215.45 / $1,770.09 / $2,363.07	Facility		$1,215.45	$1,770.09	$2,363.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,215.45 / $1,831.73 / $2,363.07	Professional		$1,215.45	$1,831.73	$2,363.07
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 $851.18 / $1,524.73 / $2,449.92	Professional		$851.18	$1,524.73	$2,449.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,204.99 / $1,525.30 / $1,794.50	Professional		$1,204.99	$1,525.30	$1,794.50