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 $630.86 / $1,019.51 / $1,092.47	Professional		$630.86	$1,019.51	$1,092.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,277.00 / $1,576.90 / $1,971.12	Professional		$1,277.00	$1,576.90	$1,971.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $642.02 / $1,023.15 / $2,333.09	Professional		$642.02	$1,023.15	$2,333.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,092.47 / $1,705.72 / $7,896.02	Facility		$1,092.47	$1,705.72	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $712.12 / $1,347.72 / $5,145.35	Professional		$712.12	$1,347.72	$5,145.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,277.00 / $1,705.72 / $2,961.89	Facility		$1,277.00	$1,705.72	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,021.70 / $1,549.49 / $2,027.56	Professional		$1,021.70	$1,549.49	$2,027.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,405.00 / $9,874.90	Facility		$4,700.00	$7,405.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $679.75 / $1,035.81 / $2,107.42	Professional		$679.75	$1,035.81	$2,107.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,079.38 / $1,366.30 / $1,607.40	Professional		$1,079.38	$1,366.30	$1,607.40