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 $728.25 / $1,091.78 / $4,387.78	Professional		$728.25	$1,091.78	$4,387.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.77 / $1,778.14 / $2,240.89	Professional		$918.77	$1,778.14	$2,240.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $669.46 / $1,089.22 / $1,845.67	Professional		$669.46	$1,089.22	$1,845.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $925.16 / $1,668.74 / $8,909.26	Facility		$925.16	$1,668.74	$8,909.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $871.37 / $1,568.69 / $5,361.44	Professional		$871.37	$1,568.69	$5,361.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,223.00 / $1,941.36 / $3,908.14	Facility		$1,223.00	$1,941.36	$3,908.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,167.11 / $1,668.74 / $2,243.14	Professional		$1,167.11	$1,668.74	$2,243.14
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 $834.30 / $1,136.24 / $2,012.14	Professional		$834.30	$1,136.24	$2,012.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,125.51 / $1,424.70 / $1,676.10	Professional		$1,125.51	$1,424.70	$1,676.10