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 $583.40 / $1,001.83 / $1,018.99	Professional		$583.40	$1,001.83	$1,018.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.00 / $1,471.13 / $1,803.62	Professional		$1,231.00	$1,471.13	$1,803.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $600.73 / $998.50 / $2,629.70	Professional		$600.73	$998.50	$2,629.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,001.83 / $1,542.82 / $11,869.99	Facility		$1,001.83	$1,542.82	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $678.00 / $1,298.58 / $5,563.75	Professional		$678.00	$1,298.58	$5,563.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,158.60 / $1,507.91 / $1,928.70	Facility		$1,158.60	$1,507.91	$1,928.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,030.08 / $1,395.18 / $1,928.70	Professional		$1,030.08	$1,395.18	$1,928.70
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 $644.21 / $1,147.30 / $1,997.22	Professional		$644.21	$1,147.30	$1,997.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $971.86 / $1,230.20 / $1,447.30	Professional		$971.86	$1,230.20	$1,447.30