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 $615.58 / $1,012.65 / $1,088.80	Professional		$615.58	$1,012.65	$1,088.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,229.53 / $1,580.01 / $1,975.02	Professional		$1,229.53	$1,580.01	$1,975.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $638.09 / $1,015.32 / $2,061.65	Professional		$638.09	$1,015.32	$2,061.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $961.19 / $1,676.75 / $11,139.12	Facility		$961.19	$1,676.75	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $705.62 / $1,321.43 / $5,135.04	Professional		$705.62	$1,321.43	$5,135.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,219.00 / $1,702.12 / $6,616.19	Facility		$1,219.00	$1,702.12	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,010.30 / $1,531.38 / $2,002.97	Professional		$1,010.30	$1,531.38	$2,002.97
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 $672.68 / $1,026.34 / $1,911.58	Professional		$672.68	$1,026.34	$1,911.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,076.30 / $1,362.40 / $1,602.90	Professional		$1,076.30	$1,362.40	$1,602.90