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 $701.04 / $1,088.15 / $1,164.13	Professional		$701.04	$1,088.15	$1,164.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,411.89 / $1,735.83 / $2,169.79	Professional		$1,411.89	$1,735.83	$2,169.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $708.25 / $1,080.53 / $2,472.36	Professional		$708.25	$1,080.53	$2,472.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.57 / $1,680.03 / $5,301.00	Facility		$1,000.57	$1,680.03	$5,301.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $763.86 / $1,430.51 / $5,694.00	Professional		$763.86	$1,430.51	$5,694.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,357.00 / $1,651.94 / $2,143.15	Facility		$1,357.00	$1,651.94	$2,143.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,081.60 / $1,638.59 / $2,143.15	Professional		$1,081.60	$1,638.59	$2,143.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,854.53 / $7,407.10	Facility		$3,711.00	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $729.14 / $1,111.07 / $2,083.26	Professional		$729.14	$1,111.07	$2,083.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,185.32 / $1,500.40 / $1,765.20	Professional		$1,185.32	$1,500.40	$1,765.20