Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $6,760.83	Facility		$1,819.70	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $3,235.94	Professional		$954.99	$1,258.93	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $3,019.95	Professional		$1,230.27	$2,398.83	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $2,951.21	Professional		$741.31	$1,288.25	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $10,000.00	Facility		$1,348.96	$2,884.03	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $7,762.47	Professional		$1,047.13	$1,862.09	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $2,754.23	Professional		$1,584.89	$2,238.72	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $10,964.78	Facility		$5,128.61	$8,128.31	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,691.53	Professional		$1,000.00	$1,479.11	$2,691.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,238.72	Professional		$1,513.56	$2,089.30	$2,238.72