Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,731.57 / $7,119.04	Facility		$2,906.00	$4,731.57	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.23 / $1,056.39 / $1,982.03	Professional		$681.23	$1,056.39	$1,982.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.43 / $1,847.07 / $2,323.67	Professional		$1,351.43	$1,847.07	$2,323.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $672.50 / $1,141.56 / $1,943.03	Professional		$672.50	$1,141.56	$1,943.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,056.39 / $1,835.23 / $8,572.06	Facility		$1,056.39	$1,835.23	$8,572.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $910.50 / $1,763.58 / $5,937.36	Professional		$910.50	$1,763.58	$5,937.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,475.98 / $1,974.97 / $5,269.25	Facility		$1,475.98	$1,974.97	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,354.79 / $1,767.08 / $2,140.17	Professional		$1,354.79	$1,767.08	$2,140.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $853.52 / $1,313.37 / $2,575.76	Professional		$853.52	$1,313.37	$2,575.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.98 / $1,531.10 / $1,833.10	Professional		$1,230.98	$1,531.10	$1,833.10