Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.90 / $1,729.54 / $5,390.00	Professional		$920.90	$1,729.54	$5,390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.24 / $2,259.39 / $2,824.24	Professional		$1,165.24	$2,259.39	$2,824.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $881.81 / $1,247.74 / $2,792.92	Professional		$881.81	$1,247.74	$2,792.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,379.77 / $2,632.60 / $6,945.09	Facility		$1,379.77	$2,632.60	$6,945.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,074.64 / $1,780.78 / $3,281.41	Professional		$1,074.64	$1,780.78	$3,281.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,479.19 / $2,131.71 / $2,787.57	Facility		$1,479.19	$2,131.71	$2,787.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,474.00 / $1,928.52 / $2,787.57	Professional		$1,474.00	$1,928.52	$2,787.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.92 / $1,495.15 / $2,750.46	Professional		$1,027.92	$1,495.15	$2,750.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,458.81 / $2,020.40 / $2,172.40	Professional		$1,458.81	$2,020.40	$2,172.40