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 $982.07 / $1,795.25 / $6,456.32	Professional		$982.07	$1,795.25	$6,456.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.93 / $2,413.65 / $3,017.06	Professional		$1,573.93	$2,413.65	$3,017.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $992.89 / $1,578.83 / $2,778.30	Professional		$992.89	$1,578.83	$2,778.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,430.91 / $2,733.30 / $13,268.42	Facility		$1,430.91	$2,733.30	$13,268.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,189.27 / $1,947.88 / $3,817.25	Professional		$1,189.27	$1,947.88	$3,817.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,491.13 / $3,325.59 / $5,797.72	Facility		$1,491.13	$3,325.59	$5,797.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,627.00 / $2,201.11 / $3,245.99	Professional		$1,627.00	$2,201.11	$3,245.99
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 $1,129.99 / $1,551.23 / $3,000.23	Professional		$1,129.99	$1,551.23	$3,000.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,655.84 / $2,096.00 / $2,465.80	Professional		$1,655.84	$2,096.00	$2,465.80