Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $4,778.89 / $11,929.98	Facility		$2,833.00	$4,778.89	$11,929.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.04 / $1,273.58 / $3,842.94	Professional		$778.04	$1,273.58	$3,842.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.45 / $1,882.34 / $2,402.55	Professional		$990.45	$1,882.34	$2,402.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $634.61 / $1,157.88 / $2,261.48	Professional		$634.61	$1,157.88	$2,261.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $950.44 / $1,798.47 / $8,909.26	Facility		$950.44	$1,798.47	$8,909.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $964.06 / $1,664.25 / $5,106.32	Professional		$964.06	$1,664.25	$5,106.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,496.00 / $2,078.26 / $3,908.14	Facility		$1,496.00	$2,078.26	$3,908.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,277.66 / $1,694.15 / $2,274.94	Professional		$1,277.66	$1,694.15	$2,274.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $869.41 / $1,205.07 / $2,266.80	Professional		$869.41	$1,205.07	$2,266.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,193.36 / $1,456.40 / $1,777.20	Professional		$1,193.36	$1,456.40	$1,777.20