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 $985.25 / $1,849.64 / $4,014.00	Professional		$985.25	$1,849.64	$4,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.67 / $2,421.44 / $3,026.80	Professional		$1,240.67	$2,421.44	$3,026.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $940.41 / $1,333.35 / $2,965.16	Professional		$940.41	$1,333.35	$2,965.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,266.78 / $2,812.72 / $9,874.90	Facility		$1,266.78	$2,812.72	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,098.72 / $1,898.57 / $3,346.43	Professional		$1,098.72	$1,898.57	$3,346.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,503.00 / $2,454.03 / $3,174.08	Facility		$1,503.00	$2,454.03	$3,174.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,394.00 / $2,060.79 / $2,841.45	Professional		$1,394.00	$2,060.79	$2,841.45
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.01 / $1,441.38 / $2,762.39	Professional		$1,057.01	$1,441.38	$2,762.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,560.41 / $2,161.10 / $2,323.69	Professional		$1,560.41	$2,161.10	$2,323.69