Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.50 / $985.99 / $1,039.60	Professional		$551.50	$985.99	$1,039.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.55 / $1,497.43 / $1,871.79	Professional		$1,162.55	$1,497.43	$1,871.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $611.39 / $974.28 / $1,898.78	Professional		$611.39	$974.28	$1,898.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $973.57 / $1,623.86 / $7,896.02	Facility		$973.57	$1,623.86	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $675.27 / $1,311.00 / $5,376.00	Professional		$675.27	$1,311.00	$5,376.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,062.00 / $1,623.86 / $2,961.89	Facility		$1,062.00	$1,623.86	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $983.05 / $1,473.05 / $1,941.92	Professional		$983.05	$1,473.05	$1,941.92
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 $650.58 / $1,059.52 / $2,016.98	Professional		$650.58	$1,059.52	$2,016.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,026.13 / $1,298.90 / $1,528.10	Professional		$1,026.13	$1,298.90	$1,528.10