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 $775.67 / $1,282.69 / $1,340.90	Professional		$775.67	$1,282.69	$1,340.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,558.00 / $1,917.37 / $2,396.71	Professional		$1,558.00	$1,917.37	$2,396.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $789.37 / $1,259.21 / $2,599.23	Professional		$789.37	$1,259.21	$2,599.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,340.90 / $2,090.05 / $7,896.02	Facility		$1,340.90	$2,090.05	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $885.13 / $1,676.24 / $6,303.36	Professional		$885.13	$1,676.24	$6,303.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,558.00 / $2,090.05 / $2,961.89	Facility		$1,558.00	$2,090.05	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,280.22 / $1,894.46 / $2,518.55	Professional		$1,280.22	$1,894.46	$2,518.55
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 $844.89 / $1,287.46 / $2,397.89	Professional		$844.89	$1,287.46	$2,397.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,319.70 / $1,670.50 / $1,965.30	Professional		$1,319.70	$1,670.50	$1,965.30