Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.48 / $1,004.64 / $1,073.25	Professional		$618.48	$1,004.64	$1,073.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.00 / $1,546.51 / $1,933.14	Professional		$1,248.00	$1,546.51	$1,933.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $631.89 / $1,007.39 / $2,074.89	Professional		$631.89	$1,007.39	$2,074.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,073.25 / $1,675.58 / $11,139.12	Facility		$1,073.25	$1,675.58	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $703.77 / $1,342.99 / $5,054.08	Professional		$703.77	$1,342.99	$5,054.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,254.07 / $1,681.00 / $6,616.19	Facility		$1,254.07	$1,681.00	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,004.08 / $1,522.55 / $2,002.81	Professional		$1,004.08	$1,522.55	$2,002.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.78 / $1,023.66 / $1,906.57	Professional		$671.78	$1,023.66	$1,906.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,060.58 / $1,342.50 / $1,579.50	Professional		$1,060.58	$1,342.50	$1,579.50