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 $729.58 / $841.29 / $1,257.79	Professional		$729.58	$841.29	$1,257.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.00 / $1,789.59 / $2,236.98	Professional		$1,472.00	$1,789.59	$2,236.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $729.10 / $1,156.92 / $2,780.65	Professional		$729.10	$1,156.92	$2,780.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,143.52 / $1,937.00 / $7,379.00	Facility		$1,143.52	$1,937.00	$7,379.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $806.40 / $1,556.52 / $6,581.31	Professional		$806.40	$1,556.52	$6,581.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,459.06 / $1,767.06 / $2,311.19	Facility		$1,459.06	$1,767.06	$2,311.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.49 / $1,752.53 / $2,311.19	Professional		$1,202.49	$1,752.53	$2,311.19
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 $767.75 / $1,316.14 / $2,193.57	Professional		$767.75	$1,316.14	$2,193.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,220.79 / $1,545.30 / $1,818.00	Professional		$1,220.79	$1,545.30	$1,818.00