Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.13 / $1,054.27 / $1,272.11	Professional		$664.13	$1,054.27	$1,272.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.43 / $1,728.82 / $2,161.03	Professional		$1,335.43	$1,728.82	$2,161.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $680.17 / $1,078.23 / $2,317.21	Professional		$680.17	$1,078.23	$2,317.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.25 / $1,854.44 / $7,896.02	Facility		$1,096.25	$1,854.44	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $750.48 / $1,421.07 / $5,622.08	Professional		$750.48	$1,421.07	$5,622.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,295.00 / $1,862.59 / $2,961.89	Facility		$1,295.00	$1,862.59	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,048.93 / $1,587.58 / $2,066.90	Professional		$1,048.93	$1,587.58	$2,066.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.36 / $1,204.96 / $2,046.75	Professional		$716.36	$1,204.96	$2,046.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,160.51 / $1,469.00 / $1,728.20	Professional		$1,160.51	$1,469.00	$1,728.20