Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.16 / $871.11 / $1,286.78	Professional		$575.16	$871.11	$1,286.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.28 / $1,465.21 / $1,896.13	Professional		$1,115.28	$1,465.21	$1,896.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $547.35 / $904.67 / $2,104.92	Professional		$547.35	$904.67	$2,104.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.61 / $1,472.18 / $5,564.59	Facility		$794.61	$1,472.18	$5,564.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.63 / $1,423.58 / $4,812.16	Professional		$734.63	$1,423.58	$4,812.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,205.96 / $1,500.75 / $2,510.01	Facility		$1,205.96	$1,500.75	$2,510.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,090.00 / $1,423.58 / $1,793.20	Professional		$1,090.00	$1,423.58	$1,793.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,178.89 / $6,003.22 / $8,510.56	Facility		$4,178.89	$6,003.22	$8,510.56
United Facility/Professional Professional Modifier Low / Median / High Price $702.69 / $1,033.32 / $2,079.52	Professional		$702.69	$1,033.32	$2,079.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $991.69 / $1,251.00 / $1,476.80	Professional		$991.69	$1,251.00	$1,476.80