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 $849.39 / $1,454.31 / $5,296.73	Professional		$849.39	$1,454.31	$5,296.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,022.54 / $2,513.38 / $2,597.73	Professional		$2,022.54	$2,513.38	$2,597.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $908.75 / $1,479.65 / $1,947.58	Professional		$908.75	$1,479.65	$1,947.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,525.07 / $2,630.51 / $13,882.69	Facility		$1,525.07	$2,630.51	$13,882.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,150.00 / $2,235.57 / $3,926.11	Professional		$1,150.00	$2,235.57	$3,926.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,590.94 / $2,188.80 / $2,849.72	Facility		$1,590.94	$2,188.80	$2,849.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,590.94 / $2,121.53 / $2,849.72	Professional		$1,590.94	$2,121.53	$2,849.72
United Facility/Professional Facility Modifier Low / Median / High Price $6,965.59 / $11,397.14 / $14,242.22	Facility		$6,965.59	$11,397.14	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.77 / $1,847.58 / $3,057.74	Professional		$1,066.77	$1,847.58	$3,057.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,536.55 / $1,945.00 / $2,288.30	Professional		$1,536.55	$1,945.00	$2,288.30