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 $716.29 / $1,162.00 / $1,237.67	Professional		$716.29	$1,162.00	$1,237.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,417.26 / $1,774.79 / $2,218.48	Professional		$1,417.26	$1,774.79	$2,218.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $729.27 / $1,163.27 / $2,399.30	Professional		$729.27	$1,163.27	$2,399.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,101.86 / $1,930.99 / $12,342.67	Facility		$1,101.86	$1,930.99	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $816.17 / $1,550.61 / $5,823.92	Professional		$816.17	$1,550.61	$5,823.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,444.12 / $1,930.99 / $6,616.19	Facility		$1,444.12	$1,930.99	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,180.75 / $1,752.53 / $2,309.58	Professional		$1,180.75	$1,752.53	$2,309.58
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $779.07 / $1,187.15 / $2,211.07	Professional		$779.07	$1,187.15	$2,211.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,220.79 / $1,545.30 / $1,818.00	Professional		$1,220.79	$1,545.30	$1,818.00