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 $811.88 / $1,390.17 / $5,058.53	Professional		$811.88	$1,390.17	$5,058.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,931.39 / $2,414.23 / $2,553.59	Professional		$1,931.39	$2,414.23	$2,553.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $867.99 / $1,585.28 / $2,993.92	Professional		$867.99	$1,585.28	$2,993.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,543.06 / $2,347.02 / $7,305.00	Facility		$1,543.06	$2,347.02	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $2,137.51 / $3,753.90	Professional		$1,120.00	$2,137.51	$3,753.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,419.88 / $2,098.53 / $2,725.47	Facility		$1,419.88	$2,098.53	$2,725.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,419.88 / $2,025.45 / $2,725.47	Professional		$1,419.88	$2,025.45	$2,725.47
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 $1,030.56 / $1,874.71 / $2,923.62	Professional		$1,030.56	$1,874.71	$2,923.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,467.03 / $1,857.00 / $2,184.69	Professional		$1,467.03	$1,857.00	$2,184.69