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 $925.39 / $1,584.79 / $5,761.01	Professional		$925.39	$1,584.79	$5,761.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,200.17 / $2,319.05 / $2,814.70	Professional		$2,200.17	$2,319.05	$2,814.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $990.15 / $1,567.89 / $2,829.74	Professional		$990.15	$1,567.89	$2,829.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,227.03 / $2,319.05 / $4,745.72	Facility		$1,227.03	$2,319.05	$4,745.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.00 / $2,326.29 / $3,949.25	Professional		$1,122.00	$2,326.29	$3,949.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,643.81 / $2,319.05 / $3,106.06	Facility		$1,643.81	$2,319.05	$3,106.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,256.16 / $2,309.29 / $2,855.99	Professional		$1,256.16	$2,309.29	$2,855.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.28 / $2,326.29 / $3,279.81	Professional		$1,108.28	$2,326.29	$3,279.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,672.59 / $2,117.19 / $2,490.80	Professional		$1,672.59	$2,117.19	$2,490.80