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 $577.54 / $1,089.71 / $1,154.36	Professional		$577.54	$1,089.71	$1,154.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.00 / $1,662.60 / $2,078.25	Professional		$1,225.00	$1,662.60	$2,078.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $678.08 / $1,080.38 / $2,787.27	Professional		$678.08	$1,080.38	$2,787.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,154.36 / $1,658.25 / $8,332.67	Facility		$1,154.36	$1,658.25	$8,332.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $755.17 / $1,421.15 / $5,633.52	Professional		$755.17	$1,421.15	$5,633.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,802.42 / $2,961.89	Facility		$1,225.00	$1,802.42	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,086.39 / $1,472.00 / $2,148.36	Professional		$1,086.39	$1,472.00	$2,148.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,523.00 / $11,869.99	Facility		$6,354.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $719.99 / $1,098.43 / $2,045.83	Professional		$719.99	$1,098.43	$2,045.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,138.71 / $1,441.40 / $1,695.70	Professional		$1,138.71	$1,441.40	$1,695.70