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 $809.37 / $1,384.76 / $5,054.35	Professional		$809.37	$1,384.76	$5,054.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,932.17 / $2,370.06 / $2,471.64	Professional		$1,932.17	$2,370.06	$2,471.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $863.39 / $1,456.67 / $1,832.96	Professional		$863.39	$1,456.67	$1,832.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,444.02 / $2,904.47 / $9,495.24	Facility		$1,444.02	$2,904.47	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,075.59 / $2,099.19 / $3,728.14	Professional		$1,075.59	$2,099.19	$3,728.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,427.50 / $2,053.37 / $2,685.67	Facility		$1,427.50	$2,053.37	$2,685.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,427.50 / $2,053.37 / $2,685.67	Professional		$1,427.50	$2,053.37	$2,685.67
United Facility/Professional Facility Modifier Low / Median / High Price $4,055.75 / $7,059.62 / $10,320.00	Facility		$4,055.75	$7,059.62	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,008.79 / $2,023.97 / $2,903.57	Professional		$1,008.79	$2,023.97	$2,903.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,462.29 / $1,851.00 / $2,177.60	Professional		$1,462.29	$1,851.00	$2,177.60