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 $855.28 / $1,464.08 / $5,329.55	Professional		$855.28	$1,464.08	$5,329.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,036.57 / $2,523.42 / $2,613.35	Professional		$2,036.57	$2,523.42	$2,613.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $914.31 / $1,544.21 / $2,962.97	Professional		$914.31	$1,544.21	$2,962.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $2,597.48 / $7,305.00	Facility		$1,966.00	$2,597.48	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,189.58 / $2,221.09 / $3,949.82	Professional		$1,189.58	$2,221.09	$3,949.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,684.51 / $2,206.48 / $2,870.94	Facility		$1,684.51	$2,206.48	$2,870.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,684.51 / $2,206.48 / $2,870.94	Professional		$1,684.51	$2,206.48	$2,870.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.78 / $2,130.05 / $3,076.21	Professional		$1,068.78	$2,130.05	$3,076.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,546.03 / $1,957.00 / $2,302.40	Professional		$1,546.03	$1,957.00	$2,302.40