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 $875.01 / $1,499.03 / $5,445.33	Professional		$875.01	$1,499.03	$5,445.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,077.86 / $2,597.32 / $2,677.01	Professional		$2,077.86	$2,597.32	$2,677.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $937.59 / $1,713.87 / $3,101.21	Professional		$937.59	$1,713.87	$3,101.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $2,559.33 / $7,305.00	Facility		$1,966.00	$2,559.33	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,208.00 / $2,310.30 / $4,057.35	Professional		$1,208.00	$2,310.30	$4,057.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,641.29 / $2,421.80 / $2,937.76	Facility		$1,641.29	$2,421.80	$2,937.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,641.29 / $2,269.05 / $2,937.76	Professional		$1,641.29	$2,269.05	$2,937.76
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 $1,097.86 / $1,966.62 / $3,159.96	Professional		$1,097.86	$1,966.62	$3,159.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,582.45 / $2,003.10 / $2,356.60	Professional		$1,582.45	$2,003.10	$2,356.60