Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.57 / $1,485.45 / $5,277.00	Professional		$949.57	$1,485.45	$5,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,932.63 / $2,384.26 / $2,949.87	Professional		$1,932.63	$2,384.26	$2,949.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $997.07 / $1,573.13 / $3,598.40	Professional		$997.07	$1,573.13	$3,598.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,377.63 / $2,599.21 / $11,869.99	Facility		$1,377.63	$2,599.21	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.41 / $2,108.29 / $7,842.88	Professional		$1,096.41	$2,108.29	$7,842.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $2,599.21 / $5,874.92	Facility		$1,890.00	$2,599.21	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,643.47 / $2,384.26 / $3,160.41	Professional		$1,643.47	$2,384.26	$3,160.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,039.08 / $1,583.38 / $2,968.83	Professional		$1,039.08	$1,583.38	$2,968.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,660.90 / $2,102.40 / $2,473.40	Professional		$1,660.90	$2,102.40	$2,473.40