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 $848.88 / $1,452.65 / $5,296.38	Professional		$848.88	$1,452.65	$5,296.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,027.22 / $2,534.02 / $2,592.94	Professional		$2,027.22	$2,534.02	$2,592.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $907.42 / $1,551.65 / $2,876.54	Professional		$907.42	$1,551.65	$2,876.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,957.92 / $2,572.35 / $7,305.00	Facility		$1,957.92	$2,572.35	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,166.80 / $2,190.32 / $3,913.95	Professional		$1,166.80	$2,190.32	$3,913.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,650.57 / $2,190.32 / $2,846.38	Facility		$1,650.57	$2,190.32	$2,846.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,650.57 / $2,174.87 / $2,846.38	Professional		$1,650.57	$2,174.87	$2,846.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.30 / $1,897.12 / $2,997.90	Professional		$1,014.30	$1,897.12	$2,997.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,536.08 / $1,944.40 / $2,287.50	Professional		$1,536.08	$1,944.40	$2,287.50