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 $653.10 / $1,079.93 / $1,135.60	Professional		$653.10	$1,079.93	$1,135.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.98 / $1,632.99 / $2,041.24	Professional		$1,302.98	$1,632.99	$2,041.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $683.08 / $1,064.08 / $2,234.91	Professional		$683.08	$1,064.08	$2,234.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,135.60 / $1,796.60 / $12,342.67	Facility		$1,135.60	$1,796.60	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $746.26 / $1,465.14 / $5,987.91	Professional		$746.26	$1,465.14	$5,987.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,326.60 / $1,831.49 / $6,616.19	Facility		$1,326.60	$1,831.49	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,076.98 / $1,624.63 / $2,124.92	Professional		$1,076.98	$1,624.63	$2,124.92
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 $711.80 / $1,084.64 / $2,112.23	Professional		$711.80	$1,084.64	$2,112.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,119.90 / $1,417.60 / $1,667.80	Professional		$1,119.90	$1,417.60	$1,667.80