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 $620.88 / $1,036.13 / $1,108.67	Professional		$620.88	$1,036.13	$1,108.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.49 / $1,596.38 / $1,995.47	Professional		$1,232.49	$1,596.38	$1,995.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $651.65 / $1,038.42 / $2,141.10	Professional		$651.65	$1,038.42	$2,141.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $951.05 / $1,707.35 / $11,139.12	Facility		$951.05	$1,707.35	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $727.18 / $1,363.85 / $5,220.80	Professional		$727.18	$1,363.85	$5,220.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,730.83 / $6,616.19	Facility		$1,224.00	$1,730.83	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,044.36 / $1,533.53 / $2,068.73	Professional		$1,044.36	$1,533.53	$2,068.73
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 $693.59 / $1,057.71 / $2,151.98	Professional		$693.59	$1,057.71	$2,151.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,093.59 / $1,384.30 / $1,628.50	Professional		$1,093.59	$1,384.30	$1,628.50