Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.77 / $1,012.66 / $1,156.46	Professional		$655.77	$1,012.66	$1,156.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.00 / $1,657.15 / $2,071.42	Professional		$1,301.00	$1,657.15	$2,071.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $670.45 / $1,063.92 / $2,110.64	Professional		$670.45	$1,063.92	$2,110.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,156.46 / $1,761.38 / $12,206.95	Facility		$1,156.46	$1,761.38	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $778.81 / $1,412.62 / $5,410.32	Professional		$778.81	$1,412.62	$5,410.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $1,617.17 / $2,231.11	Facility		$1,301.00	$1,617.17	$2,231.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,034.42 / $1,617.17 / $2,231.11	Professional		$1,034.42	$1,617.17	$2,231.11
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $744.68 / $1,134.75 / $2,246.03	Professional		$744.68	$1,134.75	$2,246.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,126.54 / $1,426.00 / $1,677.60	Professional		$1,126.54	$1,426.00	$1,677.60