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 $906.90 / $1,557.72 / $1,611.07	Professional		$906.90	$1,557.72	$1,611.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,639.16 / $2,264.90 / $2,818.39	Professional		$1,639.16	$2,264.90	$2,818.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $949.47 / $1,361.66 / $3,029.58	Professional		$949.47	$1,361.66	$3,029.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,227.92 / $2,308.33 / $6,034.22	Facility		$1,227.92	$2,308.33	$6,034.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,028.43 / $2,017.69 / $7,519.84	Professional		$1,028.43	$2,017.69	$7,519.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,494.00 / $2,197.38 / $2,722.14	Facility		$1,494.00	$2,197.38	$2,722.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,461.00 / $2,264.90 / $2,759.45	Professional		$1,461.00	$2,264.90	$2,759.45
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 $1,027.74 / $1,567.14 / $2,918.79	Professional		$1,027.74	$1,567.14	$2,918.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,577.71 / $1,997.10 / $2,349.60	Professional		$1,577.71	$1,997.10	$2,349.60