Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.65 / $1,481.86 / $1,499.22	Professional		$784.65	$1,481.86	$1,499.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.00 / $2,308.46 / $2,885.59	Professional		$1,518.00	$2,308.46	$2,885.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.03 / $1,475.40 / $3,431.75	Professional		$1,017.03	$1,475.40	$3,431.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,115.38 / $2,085.69 / $3,396.00	Facility		$1,115.38	$2,085.69	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,029.28 / $1,833.10 / $9,251.14	Professional		$1,029.28	$1,833.10	$9,251.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,518.00 / $2,114.56 / $3,030.80	Facility		$1,518.00	$2,114.56	$3,030.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $2,114.56 / $2,966.45	Professional		$1,320.00	$2,114.56	$2,966.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.27 / $1,568.43 / $2,940.81	Professional		$980.27	$1,568.43	$2,940.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,700.40 / $2,152.40 / $2,532.30	Professional		$1,700.40	$2,152.40	$2,532.30