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 $815.09 / $1,339.08 / $5,344.24	Professional		$815.09	$1,339.08	$5,344.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.67 / $2,017.87 / $2,522.34	Professional		$1,301.67	$2,017.87	$2,522.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $821.22 / $1,229.35 / $2,080.71	Professional		$821.22	$1,229.35	$2,080.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,056.85 / $2,253.05 / $7,350.19	Facility		$1,056.85	$2,253.05	$7,350.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $972.44 / $1,581.27 / $2,752.68	Professional		$972.44	$1,581.27	$2,752.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,342.04 / $1,975.97 / $2,645.14	Facility		$1,342.04	$1,975.97	$2,645.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,189.63 / $1,820.50 / $2,584.90	Professional		$1,189.63	$1,820.50	$2,584.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.16 / $1,268.40 / $2,261.82	Professional		$930.16	$1,268.40	$2,261.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,271.66 / $1,609.70 / $1,893.70	Professional		$1,271.66	$1,609.70	$1,893.70