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 $707.48 / $1,162.35 / $1,221.72	Professional		$707.48	$1,162.35	$1,221.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.15 / $1,758.43 / $2,198.04	Professional		$1,374.15	$1,758.43	$2,198.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $720.88 / $1,113.68 / $2,558.75	Professional		$720.88	$1,113.68	$2,558.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,010.71 / $1,919.19 / $7,896.02	Facility		$1,010.71	$1,919.19	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $813.20 / $1,523.34 / $5,788.16	Professional		$813.20	$1,523.34	$5,788.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,366.00 / $1,919.19 / $2,961.89	Facility		$1,366.00	$1,919.19	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,164.70 / $1,732.88 / $2,308.80	Professional		$1,164.70	$1,732.88	$2,308.80
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 $776.23 / $1,182.83 / $2,341.19	Professional		$776.23	$1,182.83	$2,341.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,207.11 / $1,528.00 / $1,797.70	Professional		$1,207.11	$1,528.00	$1,797.70