Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.60 / $1,038.33 / $4,014.28	Professional		$738.60	$1,038.33	$4,014.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.34 / $1,783.10 / $2,239.83	Professional		$961.34	$1,783.10	$2,239.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $647.44 / $1,142.89 / $2,085.01	Professional		$647.44	$1,142.89	$2,085.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $945.26 / $1,754.78 / $5,023.00	Facility		$945.26	$1,754.78	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $911.00 / $1,586.82 / $5,163.35	Professional		$911.00	$1,586.82	$5,163.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,397.00 / $1,713.87 / $2,154.58	Facility		$1,397.00	$1,713.87	$2,154.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,337.48 / $1,713.87 / $2,171.13	Professional		$1,337.48	$1,713.87	$2,171.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $5,023.00 / $7,305.00	Facility		$2,679.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $850.03 / $1,138.76 / $2,211.58	Professional		$850.03	$1,138.76	$2,211.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,147.48 / $1,452.50 / $1,708.90	Professional		$1,147.48	$1,452.50	$1,708.90