Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.76 / $1,424.50 / $4,760.00	Professional		$758.76	$1,424.50	$4,760.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.35 / $1,866.72 / $2,333.40	Professional		$961.35	$1,866.72	$2,333.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $725.65 / $1,028.48 / $2,502.02	Professional		$725.65	$1,028.48	$2,502.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,163.00 / $2,165.38 / $9,874.90	Facility		$1,163.00	$2,165.38	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $858.49 / $1,481.39 / $2,589.23	Professional		$858.49	$1,481.39	$2,589.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,165.38 / $3,123.31	Facility		$1,285.00	$2,165.38	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,074.00 / $1,588.35 / $2,183.36	Professional		$1,074.00	$1,588.35	$2,183.36
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 $784.89 / $1,196.02 / $2,197.71	Professional		$784.89	$1,196.02	$2,197.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,203.33 / $1,666.50 / $1,791.90	Professional		$1,203.33	$1,666.50	$1,791.90