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 $794.16 / $1,492.37 / $5,232.72	Professional		$794.16	$1,492.37	$5,232.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.66 / $1,953.20 / $2,441.50	Professional		$1,026.66	$1,953.20	$2,441.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $766.92 / $1,082.66 / $2,495.64	Professional		$766.92	$1,082.66	$2,495.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,377.55 / $2,397.88 / $10,015.53	Facility		$1,377.55	$2,397.88	$10,015.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $940.42 / $1,577.31 / $2,858.47	Professional		$940.42	$1,577.31	$2,858.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,588.33 / $4,188.66	Facility		$1,392.00	$2,588.33	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,247.00 / $1,705.83 / $2,412.98	Professional		$1,247.00	$1,705.83	$2,412.98
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 $889.17 / $1,308.42 / $2,426.37	Professional		$889.17	$1,308.42	$2,426.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $1,750.00 / $1,881.70	Professional		$1,263.53	$1,750.00	$1,881.70