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 $808.69 / $1,250.52 / $1,384.24	Professional		$808.69	$1,250.52	$1,384.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.00 / $1,988.26 / $2,485.33	Professional		$1,566.00	$1,988.26	$2,485.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $795.16 / $1,254.08 / $2,649.56	Professional		$795.16	$1,254.08	$2,649.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,384.24 / $2,181.23 / $11,869.99	Facility		$1,384.24	$2,181.23	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $930.44 / $1,712.95 / $7,988.04	Professional		$930.44	$1,712.95	$7,988.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,566.00 / $2,141.44 / $5,383.60	Facility		$1,566.00	$2,141.44	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,274.75 / $1,895.18 / $2,664.44	Professional		$1,274.75	$1,895.18	$2,664.44
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 $888.14 / $1,353.36 / $2,478.53	Professional		$888.14	$1,353.36	$2,478.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,320.17 / $1,671.10 / $1,966.00	Professional		$1,320.17	$1,671.10	$1,966.00