Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.68 / $3,701.00 / $7,119.04	Facility		$1,270.68	$3,701.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.85 / $1,195.45 / $1,195.45	Professional		$709.85	$1,195.45	$1,195.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.17 / $1,805.17 / $2,256.46	Professional		$1,160.17	$1,805.17	$2,256.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $732.12 / $1,095.71 / $1,802.34	Professional		$732.12	$1,095.71	$1,802.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $917.29 / $1,994.33 / $7,305.00	Facility		$917.29	$1,994.33	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $815.38 / $1,327.03 / $2,454.82	Professional		$815.38	$1,327.03	$2,454.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,201.00 / $1,909.28 / $2,429.98	Facility		$1,201.00	$1,909.28	$2,429.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $995.51 / $1,555.51 / $2,241.10	Professional		$995.51	$1,555.51	$2,241.10
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 $779.93 / $1,134.45 / $2,308.11	Professional		$779.93	$1,134.45	$2,308.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,135.31 / $1,437.10 / $1,690.70	Professional		$1,135.31	$1,437.10	$1,690.70