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 $604.87 / $997.80 / $1,466.85	Professional		$604.87	$997.80	$1,466.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.60 / $2,098.90 / $2,623.62	Professional		$1,251.60	$2,098.90	$2,623.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $821.25 / $1,127.33 / $1,991.47	Professional		$821.25	$1,127.33	$1,991.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $975.81 / $1,674.71 / $11,139.12	Facility		$975.81	$1,674.71	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $802.96 / $1,431.92 / $6,822.32	Professional		$802.96	$1,431.92	$6,822.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,229.00 / $2,190.39 / $6,616.19	Facility		$1,229.00	$2,190.39	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $879.94 / $1,682.84 / $2,316.76	Professional		$879.94	$1,682.84	$2,316.76
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 $802.96 / $1,225.17 / $2,259.96	Professional		$802.96	$1,225.17	$2,259.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,404.30 / $1,777.60 / $2,091.30	Professional		$1,404.30	$1,777.60	$2,091.30