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 $918.63 / $1,677.83 / $3,649.50	Professional		$918.63	$1,677.83	$3,649.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,469.59 / $2,268.73 / $2,835.92	Professional		$1,469.59	$2,268.73	$2,835.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $927.18 / $1,407.88 / $2,354.28	Professional		$927.18	$1,407.88	$2,354.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,326.11 / $2,707.03 / $13,268.42	Facility		$1,326.11	$2,707.03	$13,268.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,105.08 / $1,796.98 / $3,321.40	Professional		$1,105.08	$1,796.98	$3,321.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,014.55 / $5,797.72	Facility		$1,547.00	$3,014.55	$5,797.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,427.00 / $2,009.39 / $2,927.41	Professional		$1,427.00	$2,009.39	$2,927.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.69 / $1,441.43 / $2,794.71	Professional		$1,058.69	$1,441.43	$2,794.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,550.85 / $1,963.10 / $2,309.50	Professional		$1,550.85	$1,963.10	$2,309.50