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 $812.56 / $1,391.29 / $5,064.91	Professional		$812.56	$1,391.29	$5,064.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,933.73 / $2,417.16 / $2,483.65	Professional		$1,933.73	$2,417.16	$2,483.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $869.21 / $1,561.99 / $2,911.39	Professional		$869.21	$1,561.99	$2,911.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,925.61 / $2,469.66 / $7,305.00	Facility		$1,925.61	$2,469.66	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,131.93 / $2,140.05 / $3,758.36	Professional		$1,131.93	$2,140.05	$3,758.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,568.66 / $2,101.37 / $2,727.75	Facility		$1,568.66	$2,101.37	$2,727.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,568.66 / $2,068.04 / $2,727.75	Professional		$1,568.66	$2,068.04	$2,727.75
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 $1,016.97 / $1,768.64 / $2,878.73	Professional		$1,016.97	$1,768.64	$2,878.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,469.08 / $1,859.60 / $2,187.80	Professional		$1,469.08	$1,859.60	$2,187.80