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 $711.20 / $1,145.34 / $1,230.14	Professional		$711.20	$1,145.34	$1,230.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.00 / $1,763.88 / $2,204.85	Professional		$1,404.00	$1,763.88	$2,204.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.65 / $1,156.02 / $2,382.09	Professional		$724.65	$1,156.02	$2,382.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,036.58 / $1,918.92 / $11,139.12	Facility		$1,036.58	$1,918.92	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $810.62 / $1,525.13 / $5,787.52	Professional		$810.62	$1,525.13	$5,787.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,404.00 / $1,918.92 / $6,616.19	Facility		$1,404.00	$1,918.92	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.68 / $1,741.61 / $2,301.35	Professional		$1,148.68	$1,741.61	$2,301.35
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 $773.78 / $1,179.08 / $2,196.05	Professional		$773.78	$1,179.08	$2,196.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,213.20 / $1,535.70 / $1,806.70	Professional		$1,213.20	$1,535.70	$1,806.70