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 $589.60 / $935.38 / $1,082.75	Professional		$589.60	$935.38	$1,082.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.98 / $1,562.87 / $1,953.59	Professional		$1,190.98	$1,562.87	$1,953.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $606.21 / $955.41 / $1,928.20	Professional		$606.21	$955.41	$1,928.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.83 / $1,596.21 / $6,267.00	Facility		$1,002.83	$1,596.21	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $671.23 / $1,266.76 / $5,057.35	Professional		$671.23	$1,266.76	$5,057.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,142.00 / $1,675.60 / $2,961.89	Facility		$1,142.00	$1,675.60	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $936.10 / $1,418.95 / $1,851.93	Professional		$936.10	$1,418.95	$1,851.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $976.34 / $1,986.42	Professional		$638.04	$976.34	$1,986.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,037.27 / $1,313.00 / $1,544.70	Professional		$1,037.27	$1,313.00	$1,544.70