Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.80 / $1,059.50 / $1,544.37	Professional		$661.80	$1,059.50	$1,544.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.20 / $1,846.36 / $2,625.37	Professional		$1,104.20	$1,846.36	$2,625.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $675.99 / $1,099.38 / $1,424.13	Professional		$675.99	$1,099.38	$1,424.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $755.96 / $1,566.04 / $3,396.00	Facility		$755.96	$1,566.04	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $773.35 / $1,633.03 / $5,805.76	Professional		$773.35	$1,633.03	$5,805.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,566.04 / $2,350.42	Facility		$1,031.00	$1,566.04	$2,350.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,031.00 / $1,783.94 / $2,388.65	Professional		$1,031.00	$1,783.94	$2,388.65
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 $773.35 / $1,333.68 / $2,713.46	Professional		$773.35	$1,333.68	$2,713.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,433.77 / $1,747.10 / $2,135.10	Professional		$1,433.77	$1,747.10	$2,135.10