Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.70 / $1,259.71 / $1,354.62	Professional		$783.70	$1,259.71	$1,354.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.00 / $1,937.62 / $2,422.03	Professional		$1,526.00	$1,937.62	$2,422.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $797.62 / $1,272.34 / $2,624.40	Professional		$797.62	$1,272.34	$2,624.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.32 / $2,124.42 / $14,242.22	Facility		$1,258.32	$2,124.42	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $894.53 / $1,723.17 / $6,369.92	Professional		$894.53	$1,723.17	$6,369.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,526.00 / $2,112.10 / $6,616.19	Facility		$1,526.00	$2,112.10	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,255.22 / $1,914.84 / $2,542.83	Professional		$1,255.22	$1,914.84	$2,542.83
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $894.53 / $1,301.14 / $2,647.24	Professional		$894.53	$1,301.14	$2,647.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,333.84 / $1,688.40 / $1,986.40	Professional		$1,333.84	$1,688.40	$1,986.40