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 $607.29 / $953.54 / $1,098.42	Professional		$607.29	$953.54	$1,098.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.67 / $1,581.57 / $1,976.97	Professional		$1,234.67	$1,581.57	$1,976.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $646.09 / $1,027.32 / $2,122.56	Professional		$646.09	$1,027.32	$2,122.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $999.45 / $1,714.55 / $7,123.00	Facility		$999.45	$1,714.55	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.51 / $1,334.43 / $5,704.57	Professional		$720.51	$1,334.43	$5,704.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,163.00 / $1,714.55 / $3,590.67	Facility		$1,163.00	$1,714.55	$3,590.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.07 / $1,556.75 / $2,053.48	Professional		$977.07	$1,556.75	$2,053.48
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 $687.08 / $1,048.02 / $1,906.91	Professional		$687.08	$1,048.02	$1,906.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,084.43 / $1,372.70 / $1,614.90	Professional		$1,084.43	$1,372.70	$1,614.90