Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,098.00 / $11,100.08	Facility		$4,964.00	$6,098.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.20 / $1,439.95 / $5,249.37	Professional		$841.20	$1,439.95	$5,249.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,006.96 / $2,492.00 / $2,570.12	Professional		$2,006.96	$2,492.00	$2,570.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $900.41 / $1,516.44 / $2,929.96	Professional		$900.41	$1,516.44	$2,929.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,707.40 / $2,839.18 / $9,874.90	Facility		$1,707.40	$2,839.18	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,163.20 / $2,174.46 / $3,888.45	Professional		$1,163.20	$2,174.46	$3,888.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,598.23 / $2,174.46 / $2,821.62	Facility		$1,598.23	$2,174.46	$2,821.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,598.23 / $2,174.46 / $2,821.62	Professional		$1,598.23	$2,174.46	$2,821.62
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 $1,063.99 / $2,168.60 / $3,028.42	Professional		$1,063.99	$2,168.60	$3,028.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,522.88 / $1,927.70 / $2,267.90	Professional		$1,522.88	$1,927.70	$2,267.90