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 $795.96 / $1,074.97 / $4,327.67	Professional		$795.96	$1,074.97	$4,327.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.94 / $1,930.90 / $2,330.89	Professional		$960.94	$1,930.90	$2,330.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $658.74 / $1,097.85 / $1,874.55	Professional		$658.74	$1,097.85	$1,874.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.79 / $1,770.76 / $6,173.85	Facility		$912.79	$1,770.76	$6,173.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $899.61 / $1,673.01 / $5,290.80	Professional		$899.61	$1,673.01	$5,290.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,540.24 / $1,909.28 / $2,429.98	Facility		$1,540.24	$1,909.28	$2,429.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,153.86 / $1,754.48 / $2,328.69	Professional		$1,153.86	$1,754.48	$2,328.69
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 $871.16 / $1,226.75 / $2,090.31	Professional		$871.16	$1,226.75	$2,090.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,232.32 / $1,521.20 / $1,835.10	Professional		$1,232.32	$1,521.20	$1,835.10