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 $683.07 / $1,122.95 / $1,179.75	Professional		$683.07	$1,122.95	$1,179.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.00 / $1,695.32 / $2,119.15	Professional		$1,407.00	$1,695.32	$2,119.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $694.73 / $1,108.08 / $2,280.13	Professional		$694.73	$1,108.08	$2,280.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,132.27 / $1,840.88 / $11,139.12	Facility		$1,132.27	$1,840.88	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $775.67 / $1,524.14 / $6,013.62	Professional		$775.67	$1,524.14	$6,013.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,377.15 / $1,840.88 / $6,616.19	Facility		$1,377.15	$1,840.88	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,120.46 / $1,671.75 / $2,208.25	Professional		$1,120.46	$1,671.75	$2,208.25
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 $740.41 / $1,128.24 / $2,101.35	Professional		$740.41	$1,128.24	$2,101.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,164.54 / $1,474.10 / $1,734.20	Professional		$1,164.54	$1,474.10	$1,734.20