Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.35 / $3,237.00 / $7,119.04	Facility		$1,972.35	$3,237.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.66 / $1,038.08 / $3,031.00	Professional		$621.66	$1,038.08	$3,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.80 / $1,475.24 / $1,841.60	Professional		$1,155.80	$1,475.24	$1,841.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.70 / $959.09 / $1,897.17	Professional		$616.70	$959.09	$1,897.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $804.49 / $1,613.26 / $6,034.22	Facility		$804.49	$1,613.26	$6,034.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.82 / $1,283.30 / $4,471.16	Professional		$690.82	$1,283.30	$4,471.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,202.75 / $1,684.99 / $2,256.42	Facility		$1,202.75	$1,684.99	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $871.86 / $1,475.24 / $1,940.96	Professional		$871.86	$1,475.24	$1,940.96
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 $657.59 / $996.74 / $1,868.88	Professional		$657.59	$996.74	$1,868.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,027.63 / $1,300.80 / $1,530.40	Professional		$1,027.63	$1,300.80	$1,530.40