Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.66 / $1,663.66 / $5,991.09	Professional		$910.66	$1,663.66	$5,991.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,458.33 / $2,246.15 / $2,807.68	Professional		$1,458.33	$2,246.15	$2,807.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $919.94 / $1,387.61 / $2,323.33	Professional		$919.94	$1,387.61	$2,323.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,261.70 / $2,441.07 / $13,238.00	Facility		$1,261.70	$2,441.07	$13,238.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,093.56 / $1,653.77 / $3,215.76	Professional		$1,093.56	$1,653.77	$3,215.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,498.00 / $3,079.48 / $5,797.72	Facility		$1,498.00	$3,079.48	$5,797.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,371.00 / $1,903.79 / $2,888.92	Professional		$1,371.00	$1,903.79	$2,888.92
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 $1,049.25 / $1,432.31 / $2,774.60	Professional		$1,049.25	$1,432.31	$2,774.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,537.18 / $1,945.80 / $2,289.19	Professional		$1,537.18	$1,945.80	$2,289.19