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 $934.96 / $1,708.50 / $1,708.50	Professional		$934.96	$1,708.50	$1,708.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.46 / $2,303.02 / $2,878.77	Professional		$1,495.46	$2,303.02	$2,878.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $943.93 / $1,500.02 / $2,603.94	Professional		$943.93	$1,500.02	$2,603.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,383.26 / $2,571.84 / $9,875.52	Facility		$1,383.26	$2,571.84	$9,875.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,127.79 / $1,914.33 / $3,608.95	Professional		$1,127.79	$1,914.33	$3,608.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $2,294.00 / $3,079.12	Facility		$1,681.00	$2,294.00	$3,079.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,538.00 / $2,094.28 / $3,079.12	Professional		$1,538.00	$2,094.28	$3,079.12
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 $1,076.52 / $1,471.04 / $2,805.56	Professional		$1,076.52	$1,471.04	$2,805.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,576.68 / $1,995.80 / $2,348.10	Professional		$1,576.68	$1,995.80	$2,348.10