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 $670.72 / $1,086.08 / $1,164.05	Professional		$670.72	$1,086.08	$1,164.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.60 / $1,671.17 / $2,088.96	Professional		$1,305.60	$1,671.17	$2,088.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $684.92 / $1,092.14 / $2,252.32	Professional		$684.92	$1,092.14	$2,252.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,164.05 / $1,816.58 / $11,139.12	Facility		$1,164.05	$1,816.58	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $765.42 / $1,433.88 / $5,479.12	Professional		$765.42	$1,433.88	$5,479.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,302.00 / $1,816.58 / $6,616.19	Facility		$1,302.00	$1,816.58	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,098.15 / $1,647.72 / $2,172.82	Professional		$1,098.15	$1,647.72	$2,172.82
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 $730.63 / $1,113.33 / $2,073.60	Professional		$730.63	$1,113.33	$2,073.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,147.79 / $1,452.90 / $1,709.30	Professional		$1,147.79	$1,452.90	$1,709.30