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 $615.94 / $845.26 / $1,318.50	Professional		$615.94	$845.26	$1,318.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.51 / $1,551.97 / $1,939.96	Professional		$1,211.51	$1,551.97	$1,939.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $634.82 / $1,012.07 / $4,231.88	Professional		$634.82	$1,012.07	$4,231.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $913.91 / $1,662.11 / $7,896.02	Facility		$913.91	$1,662.11	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $708.28 / $1,328.44 / $5,078.39	Professional		$708.28	$1,328.44	$5,078.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,209.00 / $1,683.70 / $2,961.89	Facility		$1,209.00	$1,683.70	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,015.43 / $1,528.38 / $2,016.72	Professional		$1,015.43	$1,528.38	$2,016.72
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 $675.42 / $1,047.22 / $1,918.79	Professional		$675.42	$1,047.22	$1,918.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,064.68 / $1,347.70 / $1,585.50	Professional		$1,064.68	$1,347.70	$1,585.50