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 $735.83 / $1,184.85 / $1,719.53	Professional		$735.83	$1,184.85	$1,719.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.05 / $1,915.81 / $2,394.76	Professional		$1,482.05	$1,915.81	$2,394.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.24 / $1,203.17 / $2,375.46	Professional		$758.24	$1,203.17	$2,375.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,207.68 / $2,056.16 / $7,896.02	Facility		$1,207.68	$2,056.16	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $837.94 / $1,581.00 / $6,232.32	Professional		$837.94	$1,581.00	$6,232.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,448.00 / $2,065.06 / $2,961.89	Facility		$1,448.00	$2,065.06	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,177.97 / $1,772.17 / $2,317.88	Professional		$1,177.97	$1,772.17	$2,317.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,180.89 / $6,840.79 / $9,751.77	Facility		$4,180.89	$6,840.79	$9,751.77
United Facility/Professional Professional Modifier Low / Median / High Price $798.50 / $1,218.82 / $2,270.04	Professional		$798.50	$1,218.82	$2,270.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,290.31 / $1,633.30 / $1,921.50	Professional		$1,290.31	$1,633.30	$1,921.50