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 $656.18 / $1,075.04 / $1,134.07	Professional		$656.18	$1,075.04	$1,134.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.00 / $1,629.88 / $2,037.35	Professional		$1,333.00	$1,629.88	$2,037.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $667.08 / $1,063.47 / $2,192.73	Professional		$667.08	$1,063.47	$2,192.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $994.96 / $1,769.74 / $14,242.22	Facility		$994.96	$1,769.74	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $745.01 / $1,422.29 / $5,338.00	Professional		$745.01	$1,422.29	$5,338.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,324.04 / $1,769.74 / $6,616.19	Facility		$1,324.04	$1,769.74	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,074.72 / $1,605.51 / $2,120.92	Professional		$1,074.72	$1,605.51	$2,120.92
United Facility/Professional Facility Modifier Low / Median / High Price $7,234.00 / $9,346.00 / $14,242.22	Facility		$7,234.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $711.14 / $1,083.65 / $2,018.29	Professional		$711.14	$1,083.65	$2,018.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,118.40 / $1,415.70 / $1,665.50	Professional		$1,118.40	$1,415.70	$1,665.50