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 $693.21 / $1,140.22 / $1,206.42	Professional		$693.21	$1,140.22	$1,206.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,390.00 / $1,742.07 / $2,177.58	Professional		$1,390.00	$1,742.07	$2,177.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $709.31 / $1,130.09 / $2,597.92	Professional		$709.31	$1,130.09	$2,597.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,099.63 / $1,885.87 / $11,139.12	Facility		$1,099.63	$1,885.87	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $788.77 / $1,503.29 / $7,170.75	Professional		$788.77	$1,503.29	$7,170.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,390.00 / $1,885.87 / $6,616.19	Facility		$1,390.00	$1,885.87	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,136.93 / $1,711.06 / $2,244.65	Professional		$1,136.93	$1,711.06	$2,244.65
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 $752.91 / $1,147.30 / $2,151.17	Professional		$752.91	$1,147.30	$2,151.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,191.95 / $1,508.80 / $1,775.00	Professional		$1,191.95	$1,508.80	$1,775.00