Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.47 / $3,237.00 / $6,298.62	Facility		$1,742.47	$3,237.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.53 / $917.09 / $3,526.00	Professional		$624.53	$917.09	$3,526.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.52 / $1,629.75 / $2,217.51	Professional		$868.52	$1,629.75	$2,217.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $556.91 / $1,023.72 / $1,820.89	Professional		$556.91	$1,023.72	$1,820.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $883.08 / $1,567.86 / $5,023.00	Facility		$883.08	$1,567.86	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $872.58 / $1,498.20 / $4,532.56	Professional		$872.58	$1,498.20	$4,532.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,195.00 / $1,590.45 / $2,068.10	Facility		$1,195.00	$1,590.45	$2,068.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,145.00 / $1,508.43 / $2,068.10	Professional		$1,145.00	$1,508.43	$2,068.10
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 $800.01 / $1,090.92 / $2,012.38	Professional		$800.01	$1,090.92	$2,012.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,087.58 / $1,286.90 / $1,619.60	Professional		$1,087.58	$1,286.90	$1,619.60