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 $601.91 / $1,061.70 / $1,103.90	Professional		$601.91	$1,061.70	$1,103.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.57 / $1,582.35 / $1,977.94	Professional		$1,088.57	$1,582.35	$1,977.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $644.72 / $886.03 / $1,694.87	Professional		$644.72	$886.03	$1,694.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $721.27 / $1,616.01 / $6,173.85	Facility		$721.27	$1,616.01	$6,173.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $622.12 / $1,284.05 / $5,179.35	Professional		$622.12	$1,284.05	$5,179.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,088.57 / $1,718.14 / $2,256.42	Facility		$1,088.57	$1,718.14	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $789.00 / $1,414.29 / $1,880.75	Professional		$789.00	$1,414.29	$1,880.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,163.00 / $7,510.67	Facility		$3,044.00	$5,163.00	$7,510.67
United Facility/Professional Professional Modifier Low / Median / High Price $622.12 / $1,073.50 / $1,989.87	Professional		$622.12	$1,073.50	$1,989.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,078.34 / $1,365.00 / $1,605.90	Professional		$1,078.34	$1,365.00	$1,605.90