Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $4,917.20 / $7,119.04	Facility		$3,459.00	$4,917.20	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.46 / $1,149.99 / $3,745.00	Professional		$682.46	$1,149.99	$3,745.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.90 / $1,633.19 / $2,030.53	Professional		$1,275.90	$1,633.19	$2,030.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $683.87 / $1,066.20 / $2,154.29	Professional		$683.87	$1,066.20	$2,154.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $887.30 / $1,789.90 / $6,608.00	Facility		$887.30	$1,789.90	$6,608.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $769.28 / $1,429.21 / $4,930.70	Professional		$769.28	$1,429.21	$4,930.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,332.72 / $1,802.85 / $2,297.38	Facility		$1,332.72	$1,802.85	$2,297.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $970.42 / $1,633.19 / $2,165.56	Professional		$970.42	$1,633.19	$2,165.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.02 / $1,110.06 / $2,200.03	Professional		$733.02	$1,110.06	$2,200.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,137.68 / $1,440.10 / $1,694.20	Professional		$1,137.68	$1,440.10	$1,694.20