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 $600.29 / $966.50 / $1,030.10	Professional		$600.29	$966.50	$1,030.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.00 / $1,484.19 / $1,855.23	Professional		$1,162.00	$1,484.19	$1,855.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $595.32 / $936.90 / $2,481.40	Professional		$595.32	$936.90	$2,481.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,030.10 / $1,612.94 / $11,869.99	Facility		$1,030.10	$1,612.94	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.46 / $1,268.00 / $6,294.01	Professional		$676.46	$1,268.00	$6,294.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,197.56 / $1,687.38 / $5,383.60	Facility		$1,197.56	$1,687.38	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $988.44 / $1,431.59 / $1,940.85	Professional		$988.44	$1,431.59	$1,940.85
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 $645.71 / $983.94 / $1,832.58	Professional		$645.71	$983.94	$1,832.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $997.22 / $1,262.30 / $1,485.10	Professional		$997.22	$1,262.30	$1,485.10