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 $809.40 / $1,106.72 / $1,324.03	Professional		$809.40	$1,106.72	$1,324.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.51 / $1,963.33 / $2,454.17	Professional		$1,037.51	$1,963.33	$2,454.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $664.80 / $1,175.23 / $2,246.98	Professional		$664.80	$1,175.23	$2,246.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,029.40 / $1,844.64 / $5,023.00	Facility		$1,029.40	$1,844.64	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $990.00 / $1,765.91 / $5,486.00	Professional		$990.00	$1,765.91	$5,486.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,456.00 / $1,765.96 / $2,318.35	Facility		$1,456.00	$1,765.96	$2,318.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,332.00 / $1,820.22 / $2,358.75	Professional		$1,332.00	$1,820.22	$2,358.75
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 $932.17 / $1,276.61 / $2,395.67	Professional		$932.17	$1,276.61	$2,395.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,215.89 / $1,525.40 / $1,810.70	Professional		$1,215.89	$1,525.40	$1,810.70