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 $681.22 / $1,124.58 / $1,181.41	Professional		$681.22	$1,124.58	$1,181.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.00 / $1,697.66 / $2,122.07	Professional		$1,387.00	$1,697.66	$2,122.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $695.66 / $1,183.21 / $3,210.99	Professional		$695.66	$1,183.21	$3,210.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,181.41 / $1,843.46 / $12,342.67	Facility		$1,181.41	$1,843.46	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.46 / $1,482.33 / $5,560.32	Professional		$776.46	$1,482.33	$5,560.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,379.13 / $1,843.46 / $6,616.19	Facility		$1,379.13	$1,843.46	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,121.49 / $1,673.93 / $2,210.56	Professional		$1,121.49	$1,673.93	$2,210.56
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 $741.16 / $1,270.08 / $2,297.82	Professional		$741.16	$1,270.08	$2,297.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,166.04 / $1,476.00 / $1,736.50	Professional		$1,166.04	$1,476.00	$1,736.50