Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.93 / $2,123.46 / $3,526.81	Professional		$408.93	$2,123.46	$3,526.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.83 / $1,182.28 / $6,331.16	Professional		$945.83	$1,182.28	$6,331.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $2,822.59 / $4,241.03	Professional		$554.79	$2,822.59	$4,241.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $942.50 / $5,431.29 / $23,909.95	Facility		$942.50	$5,431.29	$23,909.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,173.90 / $5,214.25 / $8,337.29	Professional		$1,173.90	$5,214.25	$8,337.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,036.78 / $5,358.44 / $11,900.58	Facility		$1,036.78	$5,358.44	$11,900.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $942.50 / $4,145.32 / $6,664.58	Professional		$942.50	$4,145.32	$6,664.58
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,599.66 / $4,656.77 / $7,358.83	Professional		$2,599.66	$4,656.77	$7,358.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $864.10 / $1,016.60 / $5,065.60	Professional		$864.10	$1,016.60	$5,065.60