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 $851.76 / $1,401.00 / $5,459.18	Professional		$851.76	$1,401.00	$5,459.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.73 / $2,144.08 / $2,680.10	Professional		$1,374.73	$2,144.08	$2,680.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $867.88 / $1,367.29 / $2,326.42	Professional		$867.88	$1,367.29	$2,326.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $2,267.12 / $7,350.19	Facility		$1,089.00	$2,267.12	$7,350.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $994.50 / $1,628.21 / $2,892.77	Professional		$994.50	$1,628.21	$2,892.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,349.83 / $2,055.71 / $2,688.73	Facility		$1,349.83	$2,055.71	$2,688.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.86 / $1,959.43 / $2,688.73	Professional		$1,318.86	$1,959.43	$2,688.73
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 $951.26 / $1,297.17 / $2,465.38	Professional		$951.26	$1,297.17	$2,465.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,347.03 / $1,705.10 / $2,006.00	Professional		$1,347.03	$1,705.10	$2,006.00