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 $633.66 / $1,027.47 / $1,099.00	Professional		$633.66	$1,027.47	$1,099.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.30 / $1,582.35 / $1,977.94	Professional		$1,235.30	$1,582.35	$1,977.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $646.41 / $1,030.25 / $2,717.09	Professional		$646.41	$1,030.25	$2,717.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $970.20 / $1,715.83 / $12,342.67	Facility		$970.20	$1,715.83	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.91 / $1,357.00 / $5,175.60	Professional		$720.91	$1,357.00	$5,175.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $1,715.83 / $7,748.58	Facility		$1,235.00	$1,715.83	$7,748.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,024.33 / $1,557.50 / $2,047.72	Professional		$1,024.33	$1,557.50	$2,047.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $688.14 / $1,048.58 / $1,953.00	Professional		$688.14	$1,048.58	$1,953.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,084.91 / $1,373.30 / $1,615.70	Professional		$1,084.91	$1,373.30	$1,615.70