Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,090.00 / $11,611.47	Facility		$5,091.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.49 / $849.84 / $1,221.16	Professional		$548.49	$849.84	$1,221.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.47 / $1,479.51 / $1,849.39	Professional		$1,121.47	$1,479.51	$1,849.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.46 / $901.56 / $3,316.15	Professional		$537.46	$901.56	$3,316.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $849.84 / $1,455.00 / $5,564.59	Facility		$849.84	$1,455.00	$5,564.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $773.89 / $1,418.40 / $5,710.00	Professional		$773.89	$1,418.40	$5,710.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,176.83 / $1,572.87 / $3,861.99	Facility		$1,176.83	$1,572.87	$3,861.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,176.83 / $1,420.77 / $1,755.85	Professional		$1,176.83	$1,420.77	$1,755.85
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 $683.96 / $1,042.22 / $1,954.17	Professional		$683.96	$1,042.22	$1,954.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $975.41 / $1,220.80 / $1,452.60	Professional		$975.41	$1,220.80	$1,452.60