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 $868.88 / $1,629.32 / $4,014.00	Professional		$868.88	$1,629.32	$4,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.75 / $2,130.06 / $2,662.57	Professional		$1,011.75	$2,130.06	$2,662.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $816.34 / $1,116.76 / $2,399.94	Professional		$816.34	$1,116.76	$2,399.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,108.68 / $2,454.03 / $9,874.90	Facility		$1,108.68	$2,454.03	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $903.69 / $1,536.28 / $2,870.93	Professional		$903.69	$1,536.28	$2,870.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,248.00 / $2,380.56 / $3,123.31	Facility		$1,248.00	$2,380.56	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,234.09 / $1,811.95 / $2,482.79	Professional		$1,234.09	$1,811.95	$2,482.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.41 / $1,314.46 / $2,464.62	Professional		$893.41	$1,314.46	$2,464.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,365.67 / $1,891.40 / $2,033.70	Professional		$1,365.67	$1,891.40	$2,033.70