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 $646.88 / $1,050.08 / $1,126.19	Professional		$646.88	$1,050.08	$1,126.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,620.53 / $2,025.66	Professional		$1,305.00	$1,620.53	$2,025.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $662.43 / $1,055.91 / $2,175.52	Professional		$662.43	$1,055.91	$2,175.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.83 / $1,758.78 / $7,896.02	Facility		$1,002.83	$1,758.78	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $739.22 / $1,411.24 / $5,305.04	Professional		$739.22	$1,411.24	$5,305.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $1,758.78 / $2,961.89	Facility		$1,305.00	$1,758.78	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,051.02 / $1,595.34 / $2,102.81	Professional		$1,051.02	$1,595.34	$2,102.81
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 $705.62 / $1,075.23 / $2,002.62	Professional		$705.62	$1,075.23	$2,002.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,111.29 / $1,406.70 / $1,655.00	Professional		$1,111.29	$1,406.70	$1,655.00