Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.77 / $5,549.00 / $11,100.08	Facility		$1,720.77	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $769.25 / $1,168.83	Professional		$539.00	$769.25	$1,168.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.20 / $1,532.46 / $2,125.96	Professional		$1,112.20	$1,532.46	$2,125.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $569.15 / $993.47 / $2,058.83	Professional		$569.15	$993.47	$2,058.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $905.67 / $1,530.58 / $5,521.00	Facility		$905.67	$1,530.58	$5,521.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $788.92 / $1,428.17 / $5,179.89	Professional		$788.92	$1,428.17	$5,179.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,196.33 / $1,656.71 / $5,269.25	Facility		$1,196.33	$1,656.71	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,108.90 / $1,428.17 / $1,953.48	Professional		$1,108.90	$1,428.17	$1,953.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.32 / $1,097.63 / $2,233.19	Professional		$720.32	$1,097.63	$2,233.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,111.50 / $1,307.70 / $1,676.90	Professional		$1,111.50	$1,307.70	$1,676.90