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 $899.44 / $1,128.48 / $1,818.15	Professional		$899.44	$1,128.48	$1,818.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.00 / $2,366.13 / $2,957.66	Professional		$1,180.00	$2,366.13	$2,957.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $911.66 / $1,296.85 / $2,845.23	Professional		$911.66	$1,296.85	$2,845.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,234.43 / $2,773.08 / $9,874.90	Facility		$1,234.43	$2,773.08	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,054.75 / $1,800.36 / $3,243.35	Professional		$1,054.75	$1,800.36	$3,243.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,457.00 / $2,454.03 / $3,174.08	Facility		$1,457.00	$2,454.03	$3,174.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,422.98 / $2,019.67 / $2,773.08	Professional		$1,422.98	$2,019.67	$2,773.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,859.18 / $7,091.00 / $10,320.00	Facility		$4,859.18	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,016.80 / $1,496.08 / $2,762.00	Professional		$1,016.80	$1,496.08	$2,762.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,520.51 / $2,105.90 / $2,264.40	Professional		$1,520.51	$2,105.90	$2,264.40