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 $656.49 / $1,023.86 / $1,129.88	Professional		$656.49	$1,023.86	$1,129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.11 / $1,619.75 / $2,024.69	Professional		$1,260.11	$1,619.75	$2,024.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $650.85 / $1,031.86 / $2,035.17	Professional		$650.85	$1,031.86	$2,035.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.43 / $1,624.12 / $7,379.00	Facility		$954.43	$1,624.12	$7,379.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $750.15 / $1,396.03 / $6,724.95	Professional		$750.15	$1,396.03	$6,724.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,233.00 / $1,574.96 / $2,140.31	Facility		$1,233.00	$1,574.96	$2,140.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,033.01 / $1,574.96 / $2,140.31	Professional		$1,033.01	$1,574.96	$2,140.31
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 $711.76 / $1,091.11 / $2,032.21	Professional		$711.76	$1,091.11	$2,032.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,097.07 / $1,388.70 / $1,633.80	Professional		$1,097.07	$1,388.70	$1,633.80