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 $596.77 / $1,021.37 / $4,092.56	Professional		$596.77	$1,021.37	$4,092.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,424.19 / $1,741.40 / $1,832.49	Professional		$1,424.19	$1,741.40	$1,832.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $638.00 / $1,075.00 / $2,046.84	Professional		$638.00	$1,075.00	$2,046.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,045.59 / $1,931.62 / $9,495.24	Facility		$1,045.59	$1,931.62	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $835.88 / $1,626.57 / $2,960.42	Professional		$835.88	$1,626.57	$2,960.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,093.48 / $1,645.72 / $2,003.26	Facility		$1,093.48	$1,645.72	$2,003.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,093.48 / $1,525.50 / $2,003.26	Professional		$1,093.48	$1,525.50	$2,003.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.06 / $1,538.20 / $2,274.84	Professional		$801.06	$1,538.20	$2,274.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,079.54 / $1,366.50 / $1,607.70	Professional		$1,079.54	$1,366.50	$1,607.70