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 $634.35 / $1,085.94 / $3,957.41	Professional		$634.35	$1,085.94	$3,957.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,511.45 / $1,889.32 / $1,939.60	Professional		$1,511.45	$1,889.32	$1,939.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $678.19 / $1,142.18 / $2,268.65	Professional		$678.19	$1,142.18	$2,268.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,132.27 / $2,087.78 / $9,495.24	Facility		$1,132.27	$2,087.78	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $882.70 / $1,637.13 / $2,930.84	Professional		$882.70	$1,637.13	$2,930.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,183.56 / $1,637.13 / $2,127.71	Facility		$1,183.56	$1,637.13	$2,127.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,183.56 / $1,602.87 / $2,127.71	Professional		$1,183.56	$1,602.87	$2,127.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.05 / $1,593.14 / $2,433.89	Professional		$793.05	$1,593.14	$2,433.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,147.00 / $1,451.90 / $1,708.20	Professional		$1,147.00	$1,451.90	$1,708.20