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 $596.79 / $852.27 / $1,279.99	Professional		$596.79	$852.27	$1,279.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.34 / $1,734.80 / $2,309.06	Professional		$1,243.34	$1,734.80	$2,309.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $639.12 / $1,121.44 / $2,080.60	Professional		$639.12	$1,121.44	$2,080.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,020.49 / $1,646.96 / $3,396.00	Facility		$1,020.49	$1,646.96	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.99 / $1,591.92 / $5,995.00	Professional		$851.99	$1,591.92	$5,995.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,100.27 / $1,584.29 / $2,087.67	Facility		$1,100.27	$1,584.29	$2,087.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,222.36 / $1,591.92 / $2,118.30	Professional		$1,222.36	$1,591.92	$2,118.30
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 $777.90 / $1,185.38 / $2,207.76	Professional		$777.90	$1,185.38	$2,207.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.43 / $1,469.20 / $1,832.40	Professional		$1,230.43	$1,469.20	$1,832.40