Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.12 / $1,025.73 / $1,376.30	Professional		$671.12	$1,025.73	$1,376.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.00 / $1,821.60 / $2,491.17	Professional		$1,225.00	$1,821.60	$2,491.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $625.92 / $1,119.31 / $1,499.66	Professional		$625.92	$1,119.31	$1,499.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.99 / $1,695.98 / $3,322.42	Facility		$741.99	$1,695.98	$3,322.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $815.96 / $1,644.38 / $5,290.40	Professional		$815.96	$1,644.38	$5,290.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,033.56 / $1,542.94 / $2,167.71	Facility		$1,033.56	$1,542.94	$2,167.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,152.63 / $1,727.75 / $2,258.78	Professional		$1,152.63	$1,727.75	$2,258.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $4,878.97 / $6,267.00	Facility		$2,679.00	$4,878.97	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.78 / $1,252.85 / $2,333.46	Professional		$808.78	$1,252.85	$2,333.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,294.33 / $1,600.60 / $1,927.50	Professional		$1,294.33	$1,600.60	$1,927.50