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 $701.47 / $941.82 / $1,389.41	Professional		$701.47	$941.82	$1,389.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,484.49 / $2,026.15 / $2,571.03	Professional		$1,484.49	$2,026.15	$2,571.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $736.14 / $1,268.97 / $2,073.07	Professional		$736.14	$1,268.97	$2,073.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,208.03 / $1,918.27 / $5,059.28	Facility		$1,208.03	$1,918.27	$5,059.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.45 / $1,779.57 / $6,232.35	Professional		$933.45	$1,779.57	$6,232.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,647.63 / $2,020.37 / $2,932.27	Facility		$1,647.63	$2,020.37	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,311.29 / $1,894.60 / $2,386.00	Professional		$1,311.29	$1,894.60	$2,386.00
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 $865.21 / $1,344.93 / $2,675.14	Professional		$865.21	$1,344.93	$2,675.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,407.39 / $1,781.50 / $2,095.90	Professional		$1,407.39	$1,781.50	$2,095.90