Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,356.96 / $7,464.93 / $24,328.94	Facility		$2,356.96	$7,464.93	$24,328.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.53 / $1,240.51 / $4,272.00	Professional		$855.53	$1,240.51	$4,272.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,760.10 / $2,200.13 / $2,817.66	Professional		$1,760.10	$2,200.13	$2,817.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $858.43 / $1,340.42 / $3,189.29	Professional		$858.43	$1,340.42	$3,189.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,647.90 / $3,180.58 / $59,701.34	Facility		$1,647.90	$3,180.58	$59,701.34
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $5,345.40 / $5,345.40 / $5,345.40	Facility	53	$5,345.40	$5,345.40	$5,345.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,284.42 / $2,447.37 / $4,052.12	Professional		$1,284.42	$2,447.37	$4,052.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,631.03 / $2,146.25 / $2,817.66	Facility		$1,631.03	$2,146.25	$2,817.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,631.03 / $2,181.17 / $2,817.66	Professional		$1,631.03	$2,181.17	$2,817.66
United Facility/Professional Facility Modifier Low / Median / High Price $12,198.00 / $16,010.00 / $28,134.95	Facility		$12,198.00	$16,010.00	$28,134.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,216.42 / $2,138.83 / $3,471.88	Professional		$1,216.42	$2,138.83	$3,471.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,461.18 / $1,849.60 / $2,176.00	Professional		$1,461.18	$1,849.60	$2,176.00