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 $661.49 / $1,039.99 / $1,254.00	Professional		$661.49	$1,039.99	$1,254.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,329.00 / $1,698.44 / $2,123.05	Professional		$1,329.00	$1,698.44	$2,123.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.15 / $1,055.28 / $4,289.13	Professional		$691.15	$1,055.28	$4,289.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $958.94 / $1,834.29 / $7,123.00	Facility		$958.94	$1,834.29	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $786.43 / $1,444.22 / $6,723.29	Professional		$786.43	$1,444.22	$6,723.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,378.12 / $1,938.82 / $2,571.84	Facility		$1,378.12	$1,938.82	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,059.54 / $1,663.02 / $2,241.67	Professional		$1,059.54	$1,663.02	$2,241.67
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 $750.69 / $1,143.90 / $2,130.52	Professional		$750.69	$1,143.90	$2,130.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,158.46 / $1,466.40 / $1,725.20	Professional		$1,158.46	$1,466.40	$1,725.20