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 $555.66 / $1,901.23 / $1,970.99	Professional		$555.66	$1,901.23	$1,970.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.00 / $2,798.53 / $3,498.16	Professional		$1,217.00	$2,798.53	$3,498.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $967.19 / $1,497.86 / $4,356.35	Professional		$967.19	$1,497.86	$4,356.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $901.00 / $2,580.03 / $7,896.02	Facility		$901.00	$2,580.03	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $850.15 / $2,056.38 / $9,240.71	Professional		$850.15	$2,056.38	$9,240.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,471.35 / $2,506.21 / $3,377.19	Facility		$1,471.35	$2,506.21	$3,377.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $2,414.87 / $3,377.19	Professional		$1,120.00	$2,414.87	$3,377.19
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 $810.65 / $1,905.95 / $3,674.20	Professional		$810.65	$1,905.95	$3,674.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,936.13 / $2,450.80 / $2,883.30	Professional		$1,936.13	$2,450.80	$2,883.30