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 $916.97 / $1,529.50 / $1,584.80	Professional		$916.97	$1,529.50	$1,584.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,648.83 / $2,238.35 / $2,797.94	Professional		$1,648.83	$2,238.35	$2,797.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $926.70 / $1,417.14 / $3,288.43	Professional		$926.70	$1,417.14	$3,288.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,248.85 / $2,353.02 / $6,608.00	Facility		$1,248.85	$2,353.02	$6,608.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,056.23 / $2,007.13 / $6,920.61	Professional		$1,056.23	$2,007.13	$6,920.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,562.14 / $2,213.23 / $2,824.47	Facility		$1,562.14	$2,213.23	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,323.00 / $2,213.23 / $3,010.70	Professional		$1,323.00	$2,213.23	$3,010.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.82 / $1,529.63 / $2,973.24	Professional		$1,003.82	$1,529.63	$2,973.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,541.76 / $1,951.60 / $2,296.00	Professional		$1,541.76	$1,951.60	$2,296.00