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 $627.16 / $1,024.27 / $1,083.17	Professional		$627.16	$1,024.27	$1,083.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.39 / $1,557.42 / $1,946.78	Professional		$1,325.39	$1,557.42	$1,946.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $651.60 / $1,016.01 / $2,200.16	Professional		$651.60	$1,016.01	$2,200.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,083.17 / $1,723.58 / $12,257.52	Facility		$1,083.17	$1,723.58	$12,257.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.62 / $1,395.98 / $5,361.75	Professional		$720.62	$1,395.98	$5,361.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,264.06 / $1,546.19 / $2,022.31	Facility		$1,264.06	$1,546.19	$2,022.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,541.00 / $2,022.31	Professional		$1,021.38	$1,541.00	$2,022.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.78 / $1,034.33 / $2,017.14	Professional		$678.78	$1,034.33	$2,017.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,068.71 / $1,352.80 / $1,591.50	Professional		$1,068.71	$1,352.80	$1,591.50