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 $714.15 / $1,219.46 / $1,219.46	Professional		$714.15	$1,219.46	$1,219.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,691.43 / $1,929.13 / $2,162.98	Professional		$1,691.43	$1,929.13	$2,162.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $779.91 / $1,220.01 / $2,839.04	Professional		$779.91	$1,220.01	$2,839.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,088.15 / $2,012.70 / $7,305.00	Facility		$1,088.15	$2,012.70	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $996.68 / $1,884.36 / $3,304.05	Professional		$996.68	$1,884.36	$3,304.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,301.33 / $1,863.97 / $2,401.61	Facility		$1,301.33	$1,863.97	$2,401.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.37 / $1,757.63 / $2,401.61	Professional		$1,380.37	$1,757.63	$2,401.61
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 $895.46 / $1,811.20 / $2,777.20	Professional		$895.46	$1,811.20	$2,777.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,273.01 / $1,611.40 / $1,895.80	Professional		$1,273.01	$1,611.40	$1,895.80