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 $733.71 / $1,205.55 / $1,256.47	Professional		$733.71	$1,205.55	$1,256.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,458.00 / $1,800.50 / $2,250.63	Professional		$1,458.00	$1,800.50	$2,250.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $727.54 / $1,184.97 / $4,746.97	Professional		$727.54	$1,184.97	$4,746.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,191.91 / $1,948.69 / $11,869.99	Facility		$1,191.91	$1,948.69	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $846.40 / $1,597.60 / $8,985.31	Professional		$846.40	$1,597.60	$8,985.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $1,942.42 / $5,383.60	Facility		$1,458.00	$1,942.42	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,225.06 / $1,719.05 / $2,418.34	Professional		$1,225.06	$1,719.05	$2,418.34
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 $785.81 / $1,231.11 / $2,292.96	Professional		$785.81	$1,231.11	$2,292.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,197.48 / $1,515.80 / $1,783.30	Professional		$1,197.48	$1,515.80	$1,783.30