Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.27 / $1,004.88 / $1,258.66	Professional		$665.27	$1,004.88	$1,258.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.68 / $1,843.52 / $2,394.76	Professional		$972.68	$1,843.52	$2,394.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.38 / $1,113.02 / $1,901.38	Professional		$616.38	$1,113.02	$1,901.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $936.32 / $1,699.19 / $5,497.82	Facility		$936.32	$1,699.19	$5,497.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $945.41 / $1,623.73 / $4,970.00	Professional		$945.41	$1,623.73	$4,970.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $1,713.11 / $2,255.46	Facility		$1,269.00	$1,713.11	$2,255.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,192.00 / $1,648.25 / $2,255.46	Professional		$1,192.00	$1,648.25	$2,255.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.63 / $1,112.21 / $2,090.84	Professional		$827.63	$1,112.21	$2,090.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,186.42 / $1,421.50 / $1,766.80	Professional		$1,186.42	$1,421.50	$1,766.80