Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,248.07 / $7,943.28	Facility		$1,000.00	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,412.54	Professional		$588.84	$724.44	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,862.09	Professional		$1,148.15	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $2,754.23	Professional		$602.56	$891.25	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $14,454.40	Facility		$1,000.00	$1,659.59	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,258.93 / $5,623.41	Professional		$676.08	$1,258.93	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $1,698.24	Professional		$1,348.96	$1,513.56	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,698.24	Professional		$1,288.25	$1,348.96	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,964.78 / $15,848.93	Facility		$7,413.10	$10,964.78	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,819.70	Professional		$616.60	$933.25	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,445.44	Professional		$977.24	$1,230.27	$1,445.44