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 $822.24 / $1,355.46 / $1,355.46	Professional		$822.24	$1,355.46	$1,355.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.03 / $2,004.62 / $2,505.78	Professional		$1,320.03	$2,004.62	$2,505.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $341.93 / $578.17 / $1,424.36	Professional		$341.93	$578.17	$1,424.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,055.53 / $2,052.10 / $9,495.24	Facility		$1,055.53	$2,052.10	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $989.66 / $1,500.03 / $2,801.41	Professional		$989.66	$1,500.03	$2,801.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,348.23 / $2,711.92 / $3,914.66	Facility		$1,348.23	$2,711.92	$3,914.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,118.46 / $1,758.89 / $2,442.52	Professional		$1,118.46	$1,758.89	$2,442.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $946.63 / $1,290.85 / $2,381.19	Professional		$946.63	$1,290.85	$2,381.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $782.18 / $990.10 / $1,164.80	Professional		$782.18	$990.10	$1,164.80