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 $926.81 / $1,648.01 / $4,463.00	Professional		$926.81	$1,648.01	$4,463.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $2,252.38 / $2,815.47	Professional		$1,101.00	$2,252.38	$2,815.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $866.04 / $1,232.69 / $2,422.91	Professional		$866.04	$1,232.69	$2,422.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,427.01 / $2,441.94 / $7,104.12	Facility		$1,427.01	$2,441.94	$7,104.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,006.39 / $1,685.00 / $3,078.46	Professional		$1,006.39	$1,685.00	$3,078.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,370.00 / $1,848.05 / $2,472.66	Facility		$1,370.00	$1,848.05	$2,472.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,301.82 / $1,925.08 / $2,654.20	Professional		$1,301.82	$1,925.08	$2,654.20
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 $918.88 / $1,312.68 / $2,452.08	Professional		$918.88	$1,312.68	$2,452.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,446.81 / $2,003.80 / $2,154.60	Professional		$1,446.81	$2,003.80	$2,154.60