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 $608.41 / $1,026.48 / $1,251.77	Professional		$608.41	$1,026.48	$1,251.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.00 / $1,680.48 / $2,077.71	Professional		$1,177.00	$1,680.48	$2,077.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $591.11 / $1,012.06 / $2,564.58	Professional		$591.11	$1,012.06	$2,564.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $868.37 / $1,582.54 / $3,396.00	Facility		$868.37	$1,582.54	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $777.73 / $1,547.51 / $4,802.76	Professional		$777.73	$1,547.51	$4,802.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,100.27 / $1,403.19 / $2,016.82	Facility		$1,100.27	$1,403.19	$2,016.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,077.00 / $1,582.54 / $2,077.71	Professional		$1,077.00	$1,582.54	$2,077.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,145.59 / $2,133.67	Professional		$716.00	$1,145.59	$2,133.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,170.61 / $1,455.60 / $1,743.30	Professional		$1,170.61	$1,455.60	$1,743.30