Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.70 / $1,344.23 / $1,407.83	Professional		$733.70	$1,344.23	$1,407.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.09 / $1,948.31 / $2,423.00	Professional		$1,453.09	$1,948.31	$2,423.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $823.54 / $1,229.88 / $2,767.23	Professional		$823.54	$1,229.88	$2,767.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $876.77 / $1,788.60 / $3,396.00	Facility		$876.77	$1,788.60	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $861.10 / $1,655.28 / $6,408.24	Professional		$861.10	$1,655.28	$6,408.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,337.00 / $1,997.80 / $2,461.44	Facility		$1,337.00	$1,997.80	$2,461.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,177.00 / $1,881.93 / $2,410.39	Professional		$1,177.00	$1,881.93	$2,410.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.64 / $1,261.17 / $2,348.92	Professional		$827.64	$1,261.17	$2,348.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,391.66 / $1,761.60 / $2,072.50	Professional		$1,391.66	$1,761.60	$2,072.50