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 $601.90 / $1,668.34 / $1,668.34	Professional		$601.90	$1,668.34	$1,668.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,647.29 / $2,465.85 / $3,082.31	Professional		$1,647.29	$2,465.85	$3,082.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $474.38 / $802.13 / $5,860.89	Professional		$474.38	$802.13	$5,860.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,257.42 / $2,164.08 / $5,521.00	Facility		$1,257.42	$2,164.08	$5,521.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,844.68 / $3,447.04	Professional		$1,100.00	$1,844.68	$3,447.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,471.64 / $1,781.42 / $2,721.19	Facility		$1,471.64	$1,781.42	$2,721.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $2,164.08 / $3,006.25	Professional		$1,251.00	$2,164.08	$3,006.25
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 $1,164.79 / $1,588.35 / $2,969.13	Professional		$1,164.79	$1,588.35	$2,969.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,003.70 / $1,270.50 / $1,494.70	Professional		$1,003.70	$1,270.50	$1,494.70