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 $715.35 / $1,056.81 / $1,281.10	Professional		$715.35	$1,056.81	$1,281.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.15 / $1,829.19 / $2,428.84	Professional		$990.15	$1,829.19	$2,428.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $639.95 / $1,143.78 / $2,034.45	Professional		$639.95	$1,143.78	$2,034.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,786.01 / $5,023.00	Facility		$953.00	$1,786.01	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $955.00 / $1,673.57 / $5,194.08	Professional		$955.00	$1,673.57	$5,194.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,342.00 / $1,723.57 / $2,277.07	Facility		$1,342.00	$1,723.57	$2,277.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,229.00 / $1,723.57 / $2,277.07	Professional		$1,229.00	$1,723.57	$2,277.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.67 / $1,268.59 / $2,606.23	Professional		$880.67	$1,268.59	$2,606.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,196.22 / $1,473.10 / $1,781.40	Professional		$1,196.22	$1,473.10	$1,781.40